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General NPI Number Information
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NPI Number | 1972626836
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Entity Type | Individual
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Provider Name | SARAH LUCIAN RAGALYI CNM
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Gender | Female
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Dates
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Enumeration Date | 04/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2799 W GRAND BLVD HENRY FORD HOSPITAL
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City | DETROIT
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State | MI
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Zip | 48202-2608
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Country | US
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Telephone | 313-790-0685
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Fax |
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Provider Business Mailing Address
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Address Line | 28466 ELDORADO PL
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City | LATHRUP VILLAGE
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State | MI
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Zip | 48076-2621
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Country | US
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Telephone | 248-557-7544
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 4704098030
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License Number State | MI
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