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General NPI Number Information
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NPI Number | 1669685665
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Entity Type | Individual
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Provider Name | KATHRYN S. BIZEK MSN, ACNS-BC,CCRN
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 03/29/2018
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Provider Practice Location Address
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Address Line | 2215 FULLER RD # 111A
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City | ANN ARBOR
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State | MI
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Zip | 48105-2303
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Country | US
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Telephone | 734-222-7828
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Fax | 734-845-3296
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Provider Business Mailing Address
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Address Line | 2215 FULLER RD # 111A
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City | ANN ARBOR
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State | MI
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Zip | 48105-2303
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Country | US
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Telephone | 734-222-7828
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Fax | 313-916-8416
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 4704136254
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704136254
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License Number State | MI
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