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General NPI Number Information
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NPI Number | 1013802875
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Entity Type | Organization
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Legal Business Name | FIRST RESPONDERS SUPPORT LLC
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 2874 PORT SHELDON ST
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City | HUDSONVILLE
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State | MI
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Zip | 49426-7898
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Country | US
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Telephone | 616-741-1237
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Fax |
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Provider Business Mailing Address
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Address Line | 733 WIND RIDGE CT
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City | ZEELAND
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State | MI
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Zip | 49464-8442
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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 | OWNER/THERAPIST
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Name | MRS. KERRIE MURPHY
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Credential | LMSW
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Telephone | 616-304-1453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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