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General NPI Number Information
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NPI Number | 1376736694
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Entity Type | Individual
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Provider Name | LATOSHIA LYNN BARUTI FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 05/07/2013
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Provider Practice Location Address
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Address Line | 207 E BELLEVUE ST
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City | LESLIE
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State | MI
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Zip | 49251-9373
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Country | US
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Telephone | 517-589-8252
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Fax | 517-589-5189
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | MASON
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State | MI
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Zip | 48854-0010
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Country | US
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Telephone | 517-676-9788
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Fax | 517-676-3438
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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 | 4704152658
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704152658
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License Number State | MI
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