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General NPI Number Information
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NPI Number | 1447377379
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Entity Type | Individual
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Provider Name | MONICA SANGHVI FNP
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Gender | Female
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Dates
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Enumeration Date | 03/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 20401 HAGGERTY RD
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City | NORTHVILLE
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State | MI
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Zip | 48167-1999
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Country | US
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Telephone | 248-349-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 5527 SHORE DR
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City | ORCHARD LAKE
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State | MI
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Zip | 48324-2952
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Country | US
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Telephone | 248-342-1025
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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 | 4704203710
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License Number State | MI
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