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General NPI Number Information
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NPI Number | 1528978350
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Entity Type | Individual
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Provider Name | LORI ROSENDALE RN, BSN
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Gender | Female
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 333 DAHLIA DR
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City | LANSING
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State | MI
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Zip | 48911-3789
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Country | US
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Telephone | 517-755-5541
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Fax | 517-755-1129
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Provider Business Mailing Address
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Address Line | 6340 TIMBERLAND DR
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City | DIMONDALE
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State | MI
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Zip | 48821-9755
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Country | US
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Telephone | 517-242-8770
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Fax | 517-755-1129
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 4704266195
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License Number State | MI
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