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General NPI Number Information
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NPI Number | 1013314061
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Entity Type | Individual
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Provider Name | NICOLE HARTY
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Gender | Female
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Dates
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Enumeration Date | 11/19/2014
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 7640 DIXIE HWY STE 155
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City | CLARKSTON
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State | MI
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Zip | 48346-2095
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Country | US
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Telephone | 248-791-9266
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Fax |
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Provider Business Mailing Address
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Address Line | 7485 WHITE LAKE RD
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City | WHITE LAKE
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State | MI
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Zip | 48383-1160
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC007649
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401225433
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License Number State | MI
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