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General NPI Number Information
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NPI Number | 1023765070
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Entity Type | Individual
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Provider Name | ANGELA M SCOGGIN LLMFT, MAPSY
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Gender | Female
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 1030 MINERS RD STE A
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-9709
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Country | US
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Telephone | 269-408-8474
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Fax |
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Provider Business Mailing Address
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Address Line | 16498 S RED BUD TRL
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City | BUCHANAN
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State | MI
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Zip | 49107-9466
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Country | US
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Telephone | 269-362-5762
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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 | 4151001051APP22
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License Number State | MI
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