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General NPI Number Information
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NPI Number | 1346962461
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Entity Type | Individual
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Provider Name | SURATH BARNO NP
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Gender | Female
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Dates
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Enumeration Date | 09/15/2022
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 1380 COOLIDGE HWY STE 250
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City | TROY
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State | MI
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Zip | 48084-7067
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Country | US
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Telephone | 248-288-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 2608 GALPIN AVE APT 109
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City | ROYAL OAK
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State | MI
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Zip | 48073-3142
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F07221938
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License Number State | MI
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