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General NPI Number Information
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NPI Number | 1366039273
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Entity Type | Individual
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Provider Name | LYNN MONIQUE CHERRY RN
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Gender | Female
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Dates
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Enumeration Date | 12/26/2020
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Last Update Date | 12/26/2020
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Provider Practice Location Address
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Address Line | 30997 PENDLETON APT 241
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City | NEW HUDSON
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State | MI
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Zip | 48165-9459
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Country | US
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Telephone | 248-505-8649
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Fax |
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Provider Business Mailing Address
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Address Line | 30997 PENDLETON APT 241
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City | NEW HUDSON
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State | MI
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Zip | 48165-9459
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Country | US
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Telephone | 248-505-8649
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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 | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | 4704182738
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704182738
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License Number State | MI
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