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General NPI Number Information
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NPI Number | 1922233683
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Entity Type | Individual
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Provider Name | JANAE PREECE MD
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Gender | Female
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 3901 BEAUBIEN ST CHILDREN'S HOSPITAL OF MI- PEDIATRIC UROLOGY
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City | DETROIT
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State | MI
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Zip | 48201-2119
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Country | US
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Telephone | 313-745-5588
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Fax | 313-993-8738
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Provider Business Mailing Address
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Address Line | 3901 BEAUBIEN ST CHILDREN'S HOSPITAL OF MI- PEDIATRIC UROLOGY
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City | DETROIT
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State | MI
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Zip | 48201-2119
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Country | US
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Telephone | 313-745-5588
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Fax | 313-993-8738
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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 | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | 4301111157
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License Number State | MI
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