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General NPI Number Information
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NPI Number | 1962727032
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Entity Type | Individual
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Provider Name | MAXINE KAY DOWNING
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Gender | Female
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Dates
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Enumeration Date | 04/01/2010
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Last Update Date | 04/01/2010
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Provider Practice Location Address
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Address Line | 2556 LYONS RD
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City | LYONS
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State | MI
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Zip | 48851-9708
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Country | US
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Telephone | 989-855-2219
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Fax | 248-588-2828
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Provider Business Mailing Address
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Address Line | 2556 LYONS RD
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City | LYONS
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State | MI
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Zip | 48851-9708
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Country | US
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Telephone | 989-855-2219
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Fax | 248-588-2828
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704113445
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN551037
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License Number State | PA
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