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General NPI Number Information
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NPI Number | 1073460895
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Entity Type | Individual
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Provider Name | DAWN MANN CPSS, CPRC, CPRM
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Gender | Female
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 1200 N TELEGRAPH RD DEPT 32E
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City | PONTIAC
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State | MI
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Zip | 48341-1032
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Country | US
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Telephone | 810-496-4937
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Fax |
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Provider Business Mailing Address
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Address Line | 4041 GRANGE HALL RD LOT 154
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City | HOLLY
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State | MI
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Zip | 48442-1926
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Country | US
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Telephone | 586-996-5109
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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