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General NPI Number Information
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NPI Number | 1083947006
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Entity Type | Individual
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Provider Name | WILLIAM E SCHLICKLIN ACNP
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Gender | Male
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 09/09/2009
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Provider Practice Location Address
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Address Line | 1101 W UNIVERSITY DR
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City | ROCHESTER
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State | MI
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Zip | 48307-1863
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Country | US
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Telephone | 248-652-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 4655 EDGEWOOD ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48125-3229
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Country | US
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Telephone | 734-536-0415
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4704222201
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License Number State | MI
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