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General NPI Number Information
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NPI Number | 1992249916
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Entity Type | Organization
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Legal Business Name | SOUZAN TARRAF PLLC (DBA SOUTHFIELD SCRIPTS)
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Dates
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Enumeration Date | 12/09/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 17330 NORTHLAND PARK CT SUITE 101
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 248-621-9149
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Fax | 248-621-9150
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Provider Business Mailing Address
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Address Line | 17330 NORTHLAND PARK COURT SUITE 101
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 248-621-9149
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Fax | 248-621-9150
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | SOUZAN TARRAF
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Credential | PHARM D
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Telephone | 313-231-7262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301011117
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License Number State | MI
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