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General NPI Number Information
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NPI Number | 1932131547
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Entity Type | Organization
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Legal Business Name | MARQUETTE GENERAL HOSPITAL
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1414 W FAIR AVE STE 332
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City | MARQUETTE
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State | MI
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Zip | 49855-5407
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Country | US
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Telephone | 906-225-3922
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Fax | 906-225-4527
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Provider Business Mailing Address
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Address Line | 1414 W FAIR AVE STE 332
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City | MARQUETTE
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State | MI
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Zip | 49855-5407
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Country | US
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Telephone | 906-225-3922
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Fax | 906-225-4527
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Authorized Official
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Title or Position | NURSE PARTITIONER
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Name | MRS. PATRICIA ROSE LIANA
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Credential | NP
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Telephone | 906-225-3922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4301109906
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License Number State | MI
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