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NPI 1003577529

NPI 1003577529 : AMY RENEE DRABANT DO : LANSING, MI

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General NPI Number Information
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    NPI Number           |    1003577529
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    Entity Type          |    Individual 
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    Provider Name        |    AMY RENEE DRABANT DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/06/2022
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    Last Update Date     |    05/16/2023
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Provider Practice Location Address
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    Address Line         |    1215 E MICHIGAN AVE 
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    City                 |    LANSING
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    State                |    MI
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    Zip                  |    48912-1811
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    Country              |    US
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    Telephone            |    517-364-1000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6515 E UNION AVE UNIT 313 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80237-3116
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    Country              |    US
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    Telephone            |    407-497-9899
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    Fax                  |    
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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