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General NPI Number Information
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NPI Number | 1417612136
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Entity Type | Individual
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Provider Name | KENDALL PIERONI PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/08/2021
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 928 E 10 MILE RD STE 400
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City | FERNDALE
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State | MI
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Zip | 48220-3041
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Country | US
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Telephone | 248-268-4296
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Fax | 888-850-3877
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Provider Business Mailing Address
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Address Line | PO BOX 71587
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-0587
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Country | US
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Telephone | 248-268-4296
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Fax | 888-850-3877
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 5601010822
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601010822
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License Number State | MI
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