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General NPI Number Information
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NPI Number | 1639586910
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Entity Type | Individual
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Provider Name | JESSICA SCHOLEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 02/20/2023
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Provider Practice Location Address
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Address Line | 4150 RIVER RD. SUITE D
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City | EAST CHINA
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State | MI
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Zip | 48054
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Country | US
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Telephone | 810-329-8972
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Fax |
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Provider Business Mailing Address
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Address Line | 4150 RIVER RD. SUITE D
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City | EAST CHINA
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State | MI
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Zip | 48054
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Country | US
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Telephone | 313-343-8306
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Fax | 313-343-4932
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301106123
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License Number State | MI
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