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General NPI Number Information
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NPI Number | 1124709977
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Entity Type | Individual
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Provider Name | KARI RICHMOND LLC
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Gender | Female
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Dates
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Enumeration Date | 07/25/2023
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 32813 MIDDLEBELT RD
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-1702
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Country | US
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Telephone | 248-574-5222
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Fax |
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Provider Business Mailing Address
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Address Line | 3961 CHABLIS ST
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48323-3026
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Country | US
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Telephone | 410-916-4466
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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 | 6451022518
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License Number State | MI
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