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General NPI Number Information
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NPI Number | 1245847342
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Entity Type | Individual
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Provider Name | NUHA BAKKAL FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/23/2020
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 28455 HAGGERTY RD STE 200
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City | NOVI
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State | MI
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Zip | 48377-2982
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Country | US
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Telephone | 248-893-3200
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Fax | 248-893-2950
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Provider Business Mailing Address
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Address Line | PO BOX 30516 DEPT 1114
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City | LANSING
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State | MI
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Zip | 48909
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Country | US
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Telephone | 248-893-3220
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Fax | 248-893-2951
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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 | 4704319006
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License Number State | MI
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