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General NPI Number Information
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NPI Number | 1144538539
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Entity Type | Individual
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Provider Name | HILARY MARIE MCCONNACHIE ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/20/2010
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 2850 S INDUSTRIAL HWY #75
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City | ANN ARBOR
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State | MI
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Zip | 48104-6796
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Country | US
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Telephone | 734-677-1515
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Fax |
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Provider Business Mailing Address
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Address Line | 3621 SOUTH STATE STREET 700 KMS PLACE
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City | ANN ARBOR
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State | MI
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Zip | 48108
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Country | US
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Telephone | 734-936-2047
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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 | 4704254097
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License Number State | MI
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