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General NPI Number Information
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NPI Number | 1053930412
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Entity Type | Organization
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Legal Business Name | HEALING ARTS NORTH PLLC
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Dates
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Enumeration Date | 04/15/2020
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Last Update Date | 10/07/2020
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Provider Practice Location Address
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Address Line | 520 N MAIN ST STE 105
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City | CHEBOYGAN
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State | MI
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Zip | 49721-1171
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Country | US
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Telephone | 989-372-1493
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Fax |
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Provider Business Mailing Address
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Address Line | 520 N MAIN ST STE 105
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City | CHEBOYGAN
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State | MI
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Zip | 49721-1171
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Country | US
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Telephone | 989-372-1493
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Fax |
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | JOANNE LOCKEY SARRAULT
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Credential | LLMSW
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Telephone | 231-445-9010
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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 |
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License Number State |
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