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General NPI Number Information
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NPI Number | 1023204765
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Entity Type | Individual
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Provider Name | DOROTHY SUSAN PIOSZAK FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 4900 M 32 W
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City | ALPENA
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State | MI
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Zip | 49707-1499
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Country | US
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Telephone | 989-354-9830
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Fax |
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Provider Business Mailing Address
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Address Line | 16341 PINE ST
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City | PRESQUE ISLE
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State | MI
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Zip | 49777-8652
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Country | US
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Telephone | 810-513-4126
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704172619
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | 4704172619
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License Number State | MI
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