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General NPI Number Information
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NPI Number | 1225345820
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Entity Type | Individual
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Provider Name | TANIA ISABEL CABALLERO JIMENEZ BCSN,MSN, ACNP- BC
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Gender | Female
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Dates
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Enumeration Date | 09/03/2010
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 19675 ALLEN RD
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City | BROWNSTOWN TWP
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State | MI
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Zip | 48183-1021
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Country | US
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Telephone | 734-479-3311
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Fax | 734-479-8009
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Provider Business Mailing Address
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Address Line | 1 FORD PL STE 3A
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City | DETROIT
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State | MI
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Zip | 48202-3450
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Country | US
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Telephone | 800-999-5829
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Fax | 313-876-1305
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4704247441
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License Number State | MI
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