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General NPI Number Information
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NPI Number | 1316868078
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Entity Type | Individual
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Provider Name | ALICIA LYNN FABER
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Gender | Female
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 1221 SOUTH DR
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-3257
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Country | US
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Telephone | 989-772-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 1306 W JORDAN RD
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-9745
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Country | US
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Telephone | 989-506-4331
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704415386
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License Number State | MI
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