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General NPI Number Information
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NPI Number | 1871587014
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Entity Type | Individual
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Provider Name | BONNIE J TALASKI RN
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Gender | Female
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Dates
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Enumeration Date | 09/02/2005
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Last Update Date | 05/03/2011
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Provider Practice Location Address
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Address Line | 211 LONG RAPIDS RD ALPENA MEDICAL ARTS, PC
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City | ALPENA
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State | MI
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Zip | 49707-1315
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Country | US
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Telephone | 989-358-4251
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Fax | 989-354-8600
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Provider Business Mailing Address
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Address Line | 2911 BLOOM RD
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City | ALPENA
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State | MI
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Zip | 49707-7911
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Country | US
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Telephone | 989-358-4251
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Fax | 989-354-8600
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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 | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 4704165284
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License Number State | MI
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