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General NPI Number Information
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NPI Number | 1184013419
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Entity Type | Individual
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Provider Name | SARINA RENEE REDMOND FNP
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Gender | Female
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Dates
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Enumeration Date | 01/09/2015
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Last Update Date | 02/17/2015
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Provider Practice Location Address
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Address Line | 2700 ROBERT T LONGWAY BLVD STS B
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City | FLINT
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State | MI
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Zip | 48503-2190
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Country | US
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Telephone | 810-235-2004
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Fax | 810-235-2841
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Provider Business Mailing Address
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Address Line | 2700 ROBERT T LONGWAY BLVD STE B
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City | FLINT
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State | MI
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Zip | 48503-2190
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Country | US
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Telephone | 810-235-2004
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Fax | 810-235-2841
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704235082
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License Number State | MI
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