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General NPI Number Information
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NPI Number | 1073107645
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Entity Type | Individual
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Provider Name | LEAH FALEER MARCUS LLPC
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Gender | Female
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Dates
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Enumeration Date | 02/24/2021
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 1368 KING GEORGE BLVD
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City | ANN ARBOR
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State | MI
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Zip | 48108-3216
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Country | US
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Telephone | 734-926-8506
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 JACKSON AVE # 1035
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City | ANN ARBOR
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State | MI
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Zip | 48103-3820
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Country | US
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Telephone | 734-926-8506
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6451015823
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License Number State | MI
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