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General NPI Number Information
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NPI Number | 1144102104
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Entity Type | Individual
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Provider Name | ANNE CHRISTINE STARK
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Gender | Female
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 1485 M 139
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City | BENTON HARBOR
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State | MI
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Zip | 49022-5711
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Country | US
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Telephone | 269-925-0585
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Fax |
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Provider Business Mailing Address
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Address Line | 4413 INTERNATIONAL CT # A8
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City | BERRIEN SPRINGS
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State | MI
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Zip | 49103-1323
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Country | US
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Telephone | 269-235-9792
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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