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General NPI Number Information
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NPI Number | 1003816414
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Entity Type | Individual
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Provider Name | CAROLYN PILZNINSKI NP
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Gender | Female
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 19135 ALLEN RD
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City | BROWNSTOWN TWP
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State | MI
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Zip | 48183-6813
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Country | US
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Telephone | 734-362-9032
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Fax | 734-362-9001
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Provider Business Mailing Address
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Address Line | 3744 LINCOLN ST
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City | DEARBORN
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State | MI
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Zip | 48124-3512
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Country | US
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Telephone | 313-561-8749
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704103731
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4704103731
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License Number State | MI
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