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General NPI Number Information
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NPI Number | 1174943435
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Entity Type | Individual
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Provider Name | KARI RESCHKE NP
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Gender | Female
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Dates
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Enumeration Date | 04/24/2014
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 2215 FULLER RD
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City | ANN ARBOR
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State | MI
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Zip | 48105-2303
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Country | US
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Telephone | 734-845-5257
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Fax |
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Provider Business Mailing Address
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Address Line | 5259 REDDING DRIVE
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City | PINCKNEY
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State | MI
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Zip | 48169-8315
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Country | US
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Telephone | 248-924-7435
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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 | 4704270836
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License Number State | MI
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