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General NPI Number Information
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NPI Number | 1992015853
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Entity Type | Organization
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Legal Business Name | MAKALI INC
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Dates
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Enumeration Date | 10/13/2010
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | G-6061 N SAGINAW ST
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City | MT. MORRIS
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State | MI
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Zip | 48458
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Country | US
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Telephone | 810-785-0402
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Fax | 810-785-0409
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Provider Business Mailing Address
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Address Line | G-6061 N SAGINAW ST
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City | MT. MORRIS
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State | MI
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Zip | 48458
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Country | US
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Telephone | 810-785-0402
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Fax | 810-785-0409
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAMUBAHEN PATEL
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Credential |
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Telephone | 810-785-0402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301009425
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License Number State | MI
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