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General NPI Number Information
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NPI Number | 1760084420
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Entity Type | Individual
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Provider Name | JENNIFER MARIE MALAGARI
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Gender | Female
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 4160 JOHN R ST STE 925
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City | DETROIT
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State | MI
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Zip | 48201-2017
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Country | US
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Telephone | 313-745-7247
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Fax | 313-993-0500
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Provider Business Mailing Address
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Address Line | 4160 JOHN R ST STE 925
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City | DETROIT
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State | MI
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Zip | 48201-2017
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Country | US
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Telephone | 137-457-2473
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Fax | 313-993-0500
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4704339849
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4704339849
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License Number State | MI
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