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General NPI Number Information
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NPI Number | 1730558578
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Entity Type | Individual
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Provider Name | BRIGID DELEO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/23/2015
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 81 S I75 BUSINESS LOOP, PO BOX 393
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City | GRAYLING
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State | MI
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Zip | 49738
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Country | US
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Telephone | 989-348-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 5022 RIFLE RIVER TRL
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City | ALGER
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State | MI
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Zip | 48610-9327
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Country | US
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Telephone | 989-873-1571
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Fax | 989-873-1574
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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 | 4704232945
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License Number State | MI
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