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General NPI Number Information
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NPI Number | 1295722502
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Entity Type | Individual
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Provider Name | DORLETHA M HILL CRNA
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Gender | Female
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | MICHIGAN SURGICAL CENTER 2075 COOLIDGE ROAD EAST
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City | EAST LANSING
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State | MI
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Zip | 48823-1378
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Country | US
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Telephone | 517-319-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 905 SUNBURST RD
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City | JACKSON
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State | MI
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Zip | 49203-3889
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 48918
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License Number State | TN
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