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General NPI Number Information
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NPI Number | 1063971430
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Entity Type | Organization
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Legal Business Name | THE HIGH VIBRATION STATION, PLLC
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Dates
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Enumeration Date | 03/15/2019
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 22930 E 9 MILE RD STE B
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-1985
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Country | US
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Telephone | 810-328-3461
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Fax | 810-746-0114
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Provider Business Mailing Address
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Address Line | 1807 ANITA AVE
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City | GROSSE POINTE WOODS
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State | MI
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Zip | 48236-1439
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Country | US
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Telephone | 810-328-3461
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Fax | 810-746-0114
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Authorized Official
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Title or Position | CLINICAL THERAPIST/OWNER
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Name | MRS. ERIN LOUISE CASTILE
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Credential | LMSW, CAADC, RYT
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Telephone | 810-328-3461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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