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General NPI Number Information
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NPI Number | 1841447117
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Entity Type | Organization
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Legal Business Name | OAKLAND UNIVERSITY
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 2200 N SQUIRREL RD
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City | ROCHESTER
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State | MI
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Zip | 48309-4402
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Country | US
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Telephone | 248-370-2341
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 N SQUIRREL RD
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City | ROCHESTER
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State | MI
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Zip | 48309-4402
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Country | US
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Telephone | 248-370-2341
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | NANCY JANSEN
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Credential |
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Telephone | 248-370-2341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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