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General NPI Number Information
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NPI Number | 1972443893
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Entity Type | Individual
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Provider Name | MADISON F SERVEY RN
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Gender | Female
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 36475 FIVE MILE RD
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City | LIVONIA
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State | MI
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Zip | 48154-1971
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Country | US
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Telephone | 734-655-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 48660 CHAMBURY CT
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City | PLYMOUTH
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State | MI
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Zip | 48170-3243
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Country | US
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Telephone | 734-646-4861
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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 | 363LS0200X
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Taxonomy Name | School Nurse Practitioner
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License Number | 4704411217
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License Number State | MI
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