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General NPI Number Information
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NPI Number | 1336292606
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Entity Type | Individual
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Provider Name | SANDRA KAY NOWAK RNC, WHNP
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 06/04/2008
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Provider Practice Location Address
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Address Line | G3371 BEECHER RD
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City | FLINT
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State | MI
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Zip | 48532-3621
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Country | US
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Telephone | 810-238-3631
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Fax | 810-234-1659
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Provider Business Mailing Address
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Address Line | G3371 BEECHER RD
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City | FLINT
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State | MI
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Zip | 48532-3621
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Country | US
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Telephone | 810-238-3631
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Fax | 810-234-5956
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 4704078392
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License Number State | MI
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