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General NPI Number Information
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NPI Number | 1932695939
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Entity Type | Individual
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Provider Name | GLORIA JEAN POZEY-ENGINE NURSE
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Gender | Female
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Dates
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Enumeration Date | 07/03/2018
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Last Update Date | 07/03/2018
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Provider Practice Location Address
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Address Line | 1221 E GRAND BLVD
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City | DETROIT
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State | MI
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Zip | 48211-3428
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Country | US
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Telephone | 313-720-1757
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Fax |
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Provider Business Mailing Address
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Address Line | 26024 REGENCY CLUB DR
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City | WARREN
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State | MI
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Zip | 48089-1551
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Country | US
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Telephone | 586-913-1194
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 4703062469
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License Number State | MI
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