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General NPI Number Information
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NPI Number | 1588303085
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Entity Type | Individual
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Provider Name | SOLANGE BEATRICE NGANTCHUI NP
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Gender | Female
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 626 MARSHALL ST STE 800
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City | LANSING
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State | MI
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Zip | 48912-2309
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Country | US
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Telephone | 517-244-8014
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30161
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City | LANSING
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State | MI
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Zip | 48909-7661
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Country | US
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Telephone | 517-887-4383
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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 | 2022004591
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704308242
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License Number State | MI
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