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General NPI Number Information
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NPI Number | 1104994904
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Entity Type | Individual
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Provider Name | ANITA M DOVER MSW, LMSW, ACSW
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Gender | Female
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 2387 S. LINDEN RD SUITE B108
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City | FLINT
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State | MI
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Zip | 48532-5443
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Country | US
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Telephone | 810-732-1459
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Fax | 810-733-7689
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Provider Business Mailing Address
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Address Line | 2387 S. LINDEN RD SUITE B108
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City | FLINT
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State | MI
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Zip | 48532-5443
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Country | US
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Telephone | 810-732-1459
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Fax | 810-733-7689
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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 | 6801015592
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4101005886
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License Number State | MI
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