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General NPI Number Information
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NPI Number | 1043946080
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Entity Type | Organization
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Legal Business Name | EPIC LIFE COUNSELING LLC
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Dates
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Enumeration Date | 07/30/2022
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 417 FOREST ST # 568
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City | KALAMAZOO
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State | MI
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Zip | 49001-2747
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Country | US
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Telephone | 269-945-7980
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 214
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City | HASTINGS
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State | MI
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Zip | 49058-0214
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Country | US
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Telephone | 269-945-7980
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERICA SCHAEFER
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Credential |
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Telephone | 269-945-7980
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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 |
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License Number State |
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