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General NPI Number Information
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NPI Number | 1588538045
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Entity Type | Individual
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Provider Name | STEPHANIE MARIE MCLAREN RN
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Gender | Female
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 7470 BROCKWAY RD
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City | BROCKWAY
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State | MI
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Zip | 48097-3458
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Country | US
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Telephone | 810-387-3211
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Fax |
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Provider Business Mailing Address
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Address Line | 11067 DUNNIGAN RD
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City | EMMETT
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State | MI
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Zip | 48022-3801
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Country | US
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Telephone | 810-650-9395
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704244545
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License Number State | MI
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