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General NPI Number Information
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NPI Number | 1245400571
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Entity Type | Individual
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Provider Name | JOE-LA DANIELE DEWITT D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 500 CAMPUS DR
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City | HANCOCK
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State | MI
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Zip | 49930
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Country | US
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Telephone | 906-483-1050
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Fax | 906-372-3230
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Provider Business Mailing Address
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Address Line | 1000 HOUGHTON AVE
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City | SAGINAW
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State | MI
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Zip | 48602-5303
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Country | US
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Telephone | 989-583-6828
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OP70076199
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | OP70076199
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 5101016130
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License Number State | MI
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