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General NPI Number Information
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NPI Number | 1447391461
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Entity Type | Individual
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Provider Name | MARY LINDA HOES PHD, APRN-C, NP
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Gender | Female
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Dates
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Enumeration Date | 02/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 30400 TELEGRAPH RD SUITE 324
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City | BINGHAM FARMS
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State | MI
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Zip | 48025-4537
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Country | US
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Telephone | 248-540-4800
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Fax | 248-540-4937
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Provider Business Mailing Address
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Address Line | 7456 GLENGROVE DR
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48301-3870
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Country | US
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Telephone | 248-626-0373
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Fax | 248-540-4937
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704147997
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License Number State | MI
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