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General NPI Number Information
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NPI Number | 1053103879
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Entity Type | Individual
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Provider Name | DWANE DABNEY MA
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Gender |
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 4000 PORTAGE ST STE 109
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City | KALAMAZOO
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State | MI
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Zip | 49001-4962
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Country | US
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Telephone | 269-491-2720
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Fax | 269-620-6248
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Provider Business Mailing Address
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Address Line | 1203 MILES AVE
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City | KALAMAZOO
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State | MI
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Zip | 49001-4931
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Country | US
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Telephone | 269-491-2720
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Fax | 269-620-6248
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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 |
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License Number State | MI
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