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General NPI Number Information
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NPI Number | 1194718478
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Entity Type | Individual
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Provider Name | MARY ANNE RICK PNP FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 09/12/2013
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Provider Practice Location Address
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Address Line | 106 E MAIN ST HHWC
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City | SPRING ARBOR
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State | MI
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Zip | 49283-9701
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Country | US
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Telephone | 517-750-6352
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Fax | 517-750-6625
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Provider Business Mailing Address
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Address Line | 106 E MAIN ST HHWC
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City | SPRING ARBOR
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State | MI
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Zip | 49283-9701
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Country | US
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Telephone | 517-750-6352
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Fax | 517-750-6625
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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 | MR202588
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | MR202588
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License Number State | MI
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