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General NPI Number Information
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NPI Number | 1477668085
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Entity Type | Individual
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Provider Name | LISA MARIE DILLEY MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5500 ARMSTRONG RD
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City | BATTLE CREEK
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State | MI
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Zip | 49015-1014
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Country | US
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Telephone | 269-966-5600
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Fax | 269-660-6040
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Provider Business Mailing Address
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Address Line | 3600 CAPITAL AVE SW SUITE 201
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City | BATTLE CREEK
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State | MI
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Zip | 49015-9393
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Country | US
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Telephone | 269-979-5100
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Fax | 269-979-5480
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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 | 4704140813
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License Number State | MI
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