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General NPI Number Information
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NPI Number | 1033417480
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Entity Type | Individual
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Provider Name | CARRIE ANN PAPPAS MA,LLP
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Gender | Female
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Dates
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Enumeration Date | 03/09/2011
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 655 KENMOOR AVE SE STE 303
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-8622
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Country | US
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Telephone | 616-625-9066
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Fax | 616-369-5782
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Provider Business Mailing Address
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Address Line | 6006 ARROYO VISTA DR NE
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City | ROCKFORD
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State | MI
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Zip | 49341-9400
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Country | US
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Telephone | 616-625-9066
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Fax | 616-451-9513
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6361002939
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301012126
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License Number State | MI
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