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General NPI Number Information
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NPI Number | 1003731019
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Entity Type | Individual
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Provider Name | RHYZIANNE PIMENTAL
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Gender | Female
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 11051 HALL RD STE 240
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City | UTICA
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State | MI
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Zip | 48317-5742
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Country | US
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Telephone | 586-232-5855
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Fax |
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Provider Business Mailing Address
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Address Line | 42129 MAC RAE DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-2565
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Country | US
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Telephone | 248-802-5569
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4704328458
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License Number State | MI
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