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General NPI Number Information
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NPI Number | 1053545368
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Entity Type | Organization
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Legal Business Name | CLAUDIA J COMBS-WISE ACSW LMSW PLLC
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Dates
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Enumeration Date | 05/14/2009
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 1566 MELROSE AVE
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City | EAST LANSING
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State | MI
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Zip | 48823-3724
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Country | US
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Telephone | 517-896-3311
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Fax | 517-455-7950
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Provider Business Mailing Address
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Address Line | 1566 MELROSE AVE
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City | EAST LANSING
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State | MI
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Zip | 48823-3724
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Country | US
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Telephone | 517-896-3311
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Fax | 517-455-7950
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Authorized Official
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Title or Position | PARTNER
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Name | CLAUDIA J COMBS-WISE
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Credential |
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Telephone | 517-896-3311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801064087
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License Number State | MI
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