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General NPI Number Information
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NPI Number | 1831964162
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Entity Type | Organization
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Legal Business Name | DUSON HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 11/16/2023
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 17330 NORTHLAND PARK CT
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4318
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Country | US
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Telephone | 313-213-0318
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Fax |
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Provider Business Mailing Address
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Address Line | 24700 KELLY RD
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City | EASTPOINTE
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State | MI
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Zip | 48021-1379
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Country | US
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Telephone | 313-213-0318
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NICOLE D DUSON
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Credential | FNP-C
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Telephone | 313-213-0318
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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 |
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License Number State |
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