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General NPI Number Information
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NPI Number | 1699328393
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Entity Type | Individual
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Provider Name | MARY TIBBE MSN RN CCRN-K AGCNS
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Gender | Female
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Dates
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Enumeration Date | 07/22/2019
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Last Update Date | 07/22/2019
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Provider Practice Location Address
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Address Line | 100 MICHIGAN ST NE
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-2560
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Country | US
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Telephone | 616-520-1135
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Fax |
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Provider Business Mailing Address
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Address Line | 18901 W KIMBALL RD
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City | PIERSON
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State | MI
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Zip | 49339-9605
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Country | US
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Telephone |
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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 | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | 4704270663
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License Number State | MI
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