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General NPI Number Information
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NPI Number | 1962445080
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Entity Type | Individual
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Provider Name | AUTUMN NICOLE HOPKINS PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 535 S BURDICK ST STE 256
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City | KALAMAZOO
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State | MI
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Zip | 49007-6112
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Country | US
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Telephone | 269-290-1901
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Fax |
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Provider Business Mailing Address
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Address Line | 801 YORK ST
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City | MANITOWOC
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State | WI
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Zip | 54220-4630
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Country | US
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Telephone | 920-663-9008
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601004117
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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