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General NPI Number Information
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NPI Number | 1043890502
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Entity Type | Individual
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Provider Name | EMILY ANNE FRITZ
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Gender | Female
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 122 N BRIDGE ST
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City | DEWITT
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State | MI
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Zip | 48820-8900
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Country | US
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Telephone | 989-292-3432
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Fax | 517-668-2626
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Provider Business Mailing Address
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Address Line | 819 BARRY RD
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City | HASLETT
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State | MI
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Zip | 48840-9116
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Country | US
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Telephone | 616-706-0314
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6401018218
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License Number State | MI
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