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General NPI Number Information
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NPI Number | 1922141753
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Entity Type | Individual
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Provider Name | JANICE MARIE CAIE-LAWRENCE ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 8052 ODONNELL DR
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City | GROSSE ILE
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State | MI
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Zip | 48138-1132
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Country | US
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Telephone | 734-676-7315
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Fax |
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Provider Business Mailing Address
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Address Line | 8052 ODONNELL DR
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City | GROSSE ILE
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State | MI
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Zip | 48138-1132
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Country | US
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Telephone | 734-676-7315
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Fax | 734-676-1663
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704119118
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License Number State | MI
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