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General NPI Number Information
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NPI Number | 1417434515
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Entity Type | Individual
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Provider Name | AMY MICHELLE DECKER FNP
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Gender | Female
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 401 W GREENLAWN AVE
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City | LANSING
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State | MI
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Zip | 48910-2819
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Country | US
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Telephone | 248-383-8770
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Fax |
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Provider Business Mailing Address
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Address Line | 13832 NORTHRIDGE DR
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City | HOLLY
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State | MI
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Zip | 48442-8230
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Country | US
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Telephone | 248-361-6067
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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 | AP70015530
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License Number State | WA
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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 | 4704252962
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License Number State | MI
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