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General NPI Number Information
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NPI Number | 1477977551
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Entity Type | Individual
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Provider Name | HEATHER BACHERT ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/10/2014
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Last Update Date | 02/10/2014
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Provider Practice Location Address
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Address Line | 7825 N DIXIE HWY
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City | NEWPORT
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State | MI
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Zip | 48166-9750
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Country | US
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Telephone | 734-586-0888
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Fax | 734-586-0889
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Provider Business Mailing Address
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Address Line | 15895 AUGUSTA CT
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City | NORTHVILLE
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State | MI
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Zip | 48168-8622
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704236079
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License Number State | MI
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