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General NPI Number Information
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NPI Number | 1912513573
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Entity Type | Individual
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Provider Name | DEANNA ZIEGLOWSKY MICHAUX FNP
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Gender | Female
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 18 OAK BRANCH DR STE C
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City | GREENSBORO
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State | NC
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Zip | 27407-2444
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Country | US
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Telephone | 336-579-2312
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Fax | 336-579-2365
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Provider Business Mailing Address
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Address Line | PO BOX 604050
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City | CHARLOTTE
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State | NC
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Zip | 28260-4050
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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 | F05200864
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5013604
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License Number State | NC
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