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General NPI Number Information
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NPI Number | 1083344642
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Entity Type | Individual
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Provider Name | MICHAEL PARRISH DELLINGER MHP
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Gender | Male
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 701 MONROE AVE
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City | CHARLESTON
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State | IL
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Zip | 61920-2036
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Country | US
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Telephone | 217-294-6727
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Fax |
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Provider Business Mailing Address
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Address Line | 1330 A ST
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City | CHARLESTON
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State | IL
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Zip | 61920-2508
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Country | US
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Telephone | 704-965-0261
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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