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General NPI Number Information
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NPI Number | 1497188668
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Entity Type | Individual
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Provider Name | BROOKE MUZIO CUDNEY NP
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Gender | Female
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Dates
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Enumeration Date | 08/12/2013
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Last Update Date | 03/05/2019
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Provider Practice Location Address
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Address Line | 2006 HOLTON RD
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City | MUSKEGON
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State | MI
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Zip | 49445-1505
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Country | US
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Telephone | 231-672-3333
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Fax | 231-672-3465
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Provider Business Mailing Address
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Address Line | PO BOX 1848
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City | MUSKEGON
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State | MI
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Zip | 49443-1848
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Country | US
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Telephone | 866-611-1512
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Fax | 231-728-4789
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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 | 4704276078
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License Number State | MI
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