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General NPI Number Information
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NPI Number | 1912150673
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Entity Type | Individual
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Provider Name | RENE ROCHELLE STRAUB NP-C
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Gender | Female
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 03/09/2025
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Provider Practice Location Address
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Address Line | 1003 SPRING ST
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City | PETOSKEY
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State | MI
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Zip | 49770-2810
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Country | US
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Telephone | 231-347-9692
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Fax | 231-348-1908
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Provider Business Mailing Address
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Address Line | 950 VICTORS WAY STE 100
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City | ANN ARBOR
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State | MI
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Zip | 48108-5217
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Country | US
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Telephone | 734-926-4800
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Fax | 734-973-0595
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704200966
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704200966
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License Number State | MI
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