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General NPI Number Information
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NPI Number | 1124238654
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Entity Type | Individual
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Provider Name | ALICE FLORINA DOE M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 02/18/2019
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Provider Practice Location Address
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Address Line | 1717 SHAFFER ST STE 124 BORGESS HEALTH
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City | KALAMAZOO
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State | MI
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Zip | 49048-1629
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Country | US
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Telephone | 269-226-5967
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Fax | 269-552-0284
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Provider Business Mailing Address
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Address Line | 1535 GULL RD STE 130
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City | KALAMAZOO
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State | MI
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Zip | 49048-1659
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Country | US
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Telephone | 269-345-1161
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301083451
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 4301083451
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License Number State | MI
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