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General NPI Number Information
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NPI Number | 1184518219
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Entity Type | Individual
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Provider Name | NICHOLE SCHWARTZ
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Gender | Female
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 3200 W LIBERTY RD STE A
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City | ANN ARBOR
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State | MI
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Zip | 48103-9794
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Country | US
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Telephone | 734-994-5858
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Fax | 734-994-4322
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Provider Business Mailing Address
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Address Line | 512 ISLINGTON ST
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City | TOLEDO
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State | OH
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Zip | 43610-1315
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Country | US
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Telephone |
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 4704343151
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License Number State | MI
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