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General NPI Number Information
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NPI Number | 1811144496
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Entity Type | Organization
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Legal Business Name | THE REGENTS OF THE UNIVERSITY OF MICHIGAN
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 08/26/2008
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Provider Practice Location Address
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Address Line | 2364 BISHOP
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City | ANN ARBOR
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State | MI
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Zip | 48105
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Country | US
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Telephone | 734-647-1636
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Fax | 734-763-9634
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Provider Business Mailing Address
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Address Line | 2364 BISHOP
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City | ANN ARBOR
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State | MI
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Zip | 48105
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Country | US
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Telephone | 734-647-5167
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Fax |
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Authorized Official
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Title or Position | DIRECTOR PROFESSIONAL FEE BILLING
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Name | J FABIANA JOHNSON
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Credential |
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Telephone | 734-647-5167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704106646
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704134489
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704192578
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704196737
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704206913
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704121969
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704169272
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License Number State | MI
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