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General NPI Number Information
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NPI Number | 1134697113
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Entity Type | Organization
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Legal Business Name | TERRA FIRMA LIFE STRATEGIES PLLC
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 1513 COLUMBUS AVE
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City | BAY CITY
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State | MI
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Zip | 48708-6824
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Country | US
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Telephone | 989-778-4993
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Fax |
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Provider Business Mailing Address
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Address Line | 1417 FRASER ST
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City | BAY CITY
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State | MI
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Zip | 48708-7957
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROSANNE WILD
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Credential |
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Telephone | 989-992-8926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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