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General NPI Number Information
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NPI Number | 1073429668
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Entity Type | Individual
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Provider Name | ANNA L ROEDER LLPC
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Gender | Female
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Dates
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Enumeration Date | 08/22/2026
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Last Update Date | 08/22/2026
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Provider Practice Location Address
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Address Line | 217 E 24TH ST STE 201
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City | HOLLAND
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State | MI
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Zip | 49423-4973
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Country | US
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Telephone | 616-217-9934
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Fax |
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Provider Business Mailing Address
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Address Line | 718 AXTELL ST
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City | KALAMAZOO
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State | MI
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Zip | 49008-1306
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Country | US
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Telephone | 269-370-8750
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6451025004
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License Number State | MI
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