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General NPI Number Information
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NPI Number | 1497325476
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Entity Type | Individual
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Provider Name | SHIBANI TIPNIS MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 4400 HIGHLAND RD
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City | WATERFORD
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State | MI
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Zip | 48328-1222
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Country | US
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Telephone | 248-618-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 24 FRANK LLOYD WRIGHT DR LBBY J2000
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City | ANN ARBOR
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State | MI
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Zip | 48105-9484
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Country | US
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Telephone | 734-747-6766
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704334272
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License Number State | MI
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