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General NPI Number Information
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NPI Number | 1912382532
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Entity Type | Individual
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Provider Name | LINDSAY ANNE BROSSY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/24/2015
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Last Update Date | 01/24/2019
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Provider Practice Location Address
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Address Line | 8906 COMMERCE RD UNIT 5
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City | COMMERCE TWP
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State | MI
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Zip | 48382
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Country | US
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Telephone | 248-363-5555
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Fax | 248-926-9112
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Provider Business Mailing Address
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Address Line | 29237 NEW BRADFORD DR
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City | FARMINGTON HILLS
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State | MI
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Zip | 48331-2701
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Country | US
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Telephone |
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704284661
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License Number State | MI
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