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General NPI Number Information
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NPI Number | 1093115032
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Entity Type | Individual
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Provider Name | ELIZABETH SPOTTS LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 300 BAILEY ST
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City | EAST LANSING
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State | MI
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Zip | 48823-4688
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Country | US
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Telephone | 517-273-2706
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Fax |
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Provider Business Mailing Address
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Address Line | 350 N MAIN ST STE 220
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City | CHELSEA
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State | MI
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Zip | 48118-1370
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Country | US
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Telephone | 734-433-5100
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801094777
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License Number State | MI
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