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General NPI Number Information
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NPI Number | 1366589269
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Entity Type | Individual
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Provider Name | DONNA M REESMAN NP
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 11/01/2012
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Provider Practice Location Address
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Address Line | 22201 MOROSS RD SUITE 150
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City | DETROIT
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State | MI
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Zip | 48236-2169
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Country | US
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Telephone | 586-247-4300
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Fax | 586-532-6496
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Provider Business Mailing Address
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Address Line | 45640 SCHOENHERR RD
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City | UTICA
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State | MI
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Zip | 48315-6033
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Country | US
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Telephone | 586-247-4300
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Fax | 586-532-6496
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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 | 163WN0300X
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Taxonomy Name | Nephrology Registered Nurse
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License Number | 4704164903
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License Number State | MI
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