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General NPI Number Information
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NPI Number | 1124980040
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Entity Type | Individual
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Provider Name | KAITLYN BAMMEL LLMSW
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Gender | Female
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 545 COUNTY ROAD HQ
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City | MARQUETTE
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State | MI
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Zip | 49855-8855
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Country | US
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Telephone | 906-273-0072
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Fax | 906-273-0559
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Provider Business Mailing Address
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Address Line | 545 COUNTY ROAD HQ
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City | MARQUETTE
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State | MI
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Zip | 49855-8855
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Country | US
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Telephone | 906-273-0072
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Fax | 906-273-0559
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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 | 6851117097
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License Number State | MI
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