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General NPI Number Information
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NPI Number | 1063153153
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Entity Type | Organization
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Legal Business Name | DEEPENING CONNECTIONS PLLC
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 455 E EISENHOWER PKWY STE 300
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City | ANN ARBOR
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State | MI
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Zip | 48108-3324
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Country | US
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Telephone | 419-573-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 2706 GLENBRIDGE CT
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City | ANN ARBOR
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State | MI
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Zip | 48104-6728
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Country | US
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Telephone | 419-573-2323
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH BRYAN
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Credential | LPC
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Telephone | 419-573-2323
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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 |
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License Number State |
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