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General NPI Number Information
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NPI Number | 1972913457
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Entity Type | Individual
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Provider Name | KALI PATRICK R.PH
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Gender | Female
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Dates
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Enumeration Date | 05/06/2014
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Last Update Date | 05/28/2018
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Provider Practice Location Address
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Address Line | 7157 E SAGINAW ST
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City | EAST LANSING
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State | MI
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Zip | 48823
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Country | US
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Telephone | 517-885-9010
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Fax | 517-885-9065
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Provider Business Mailing Address
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Address Line | 7157 E SAGINAW ST
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City | EAST LANSING
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State | MI
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Zip | 48823-9627
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Country | US
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Telephone | 517-885-9010
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Fax | 517-885-9065
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 5302037143
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License Number State | MI
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