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General NPI Number Information
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NPI Number | 1447171715
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Entity Type | Individual
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Provider Name | JENNIFER ELAINE RANKIN
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Gender | Female
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 19611 E 8 MILE RD
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-1655
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Country | US
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Telephone | 586-455-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 22487 BOULDER AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-2305
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Country | US
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Telephone |
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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