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General NPI Number Information
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NPI Number | 1427497221
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Entity Type | Individual
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Provider Name | LATONYA JACQUES STEEN LPN
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Gender | Female
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Dates
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Enumeration Date | 06/14/2013
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Last Update Date | 06/14/2013
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Provider Practice Location Address
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Address Line | 11839 GABLE ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-2525
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Country | US
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Telephone | 313-295-6135
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Fax |
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Provider Business Mailing Address
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Address Line | 11839 GABLE
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City | DET
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State | MI
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Zip | 48212
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Country | US
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Telephone | 313-695-2135
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 4703092379
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License Number State | MI
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