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General NPI Number Information
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NPI Number | 1134339567
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Entity Type | Individual
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Provider Name | JULIANA A. OPARA RN, PHN
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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 | 07/08/2007
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Provider Practice Location Address
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Address Line | 1151 TAYLOR STREET, 212-A DETROIT HEALTH DEPT COMMUNICABLE DISEASE DIVISION
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City | DETROIT
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State | MI
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Zip | 48202-1732
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Country | US
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Telephone | 313-876-4597
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Fax | 313-876-0070
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Provider Business Mailing Address
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Address Line | 16701 GREENVIEW AVE
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City | DETROIT
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State | MI
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Zip | 48219-4122
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Country | US
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Telephone | 313-531-3704
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 4704110931
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License Number State | MI
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