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General NPI Number Information
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NPI Number | 1073246138
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Entity Type | Individual
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Provider Name | KAY SUSAN BARANCZYK APNP
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Gender | Female
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 1110 10TH AVE
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City | MENOMINEE
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State | MI
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Zip | 49858-3058
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Country | US
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Telephone | 906-290-5000
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Fax | 906-372-3230
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Provider Business Mailing Address
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Address Line | 301 EXPLORER ST
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City | GWINN
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State | MI
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Zip | 49841-2813
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Country | US
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Telephone | 906-290-5000
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Fax | 906-372-3230
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704423090
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License Number State | MI
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