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General NPI Number Information
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NPI Number | 1154373090
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Entity Type | Individual
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Provider Name | KAYLEEN P PAPIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 1401 PRESQUE ISLE AVENUE HEALTH CENTER
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City | MARQUETTE
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State | MI
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Zip | 49855
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Country | US
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Telephone | 906-227-2355
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Fax | 906-227-2332
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Provider Business Mailing Address
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Address Line | 1401 PRESQUE ISLE AVENUE HEALTH CENTER
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City | MARQUETTE
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State | MI
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Zip | 49855
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Country | US
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Telephone | 906-227-2355
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Fax | 906-227-2332
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301097662
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4301097662
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 45292
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5315048052
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License Number State | MI
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