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General NPI Number Information
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NPI Number | 1518376490
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Entity Type | Individual
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Provider Name | MARGARET ELIZABETH TRAEGER N.P.
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Gender | Female
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Dates
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Enumeration Date | 08/05/2014
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 970 PARCHMENT DR SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-3662
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Country | US
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Telephone | 616-949-4840
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Fax |
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Provider Business Mailing Address
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Address Line | 521 WEBSTER ST
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-2651
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Country | US
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Telephone | 269-274-4475
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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 | APN 0991244-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704266531
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License Number State | MI
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