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General NPI Number Information
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NPI Number | 1487195566
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Entity Type | Individual
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Provider Name | VERNA RENEE DUBORD NP-C
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Gender | Female
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Dates
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Enumeration Date | 03/09/2017
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Last Update Date | 05/24/2017
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Provider Practice Location Address
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Address Line | 44200 WOODWARD AVE SUITE 209
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City | PONTIAC
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State | MI
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Zip | 48341-5045
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Country | US
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Telephone | 248-253-0330
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Fax | 248-253-1982
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Provider Business Mailing Address
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Address Line | 1886 W AUBURN RD SUITE 400
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-3865
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Country | US
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Telephone | 248-290-3111
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Fax | 248-290-3100
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 4704185426
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 4704185426
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 163WD1100X
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Taxonomy Name | Peritoneal Dialysis Registered Nurse
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License Number | 4704185426
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 4704185426
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | 4704185426
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 163WH0500X
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Taxonomy Name | Hemodialysis Registered Nurse
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License Number | 4704185426
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | 4704185426
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License Number State | MI
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Taxonomy #8
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Taxonomy Code | 163WI0600X
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Taxonomy Name | Infection Control Registered Nurse
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License Number | 4704185426
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License Number State | MI
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Taxonomy #9
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Taxonomy Code | 163WN0300X
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Taxonomy Name | Nephrology Registered Nurse
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License Number | 4704185426
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License Number State | MI
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Taxonomy #10
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704185426
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License Number State | MI
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