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General NPI Number Information
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NPI Number | 1154816635
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Entity Type | Organization
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Legal Business Name | SCHAFER CONSULTING LLC
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 808 W LAKE LANSING RD STE 105
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City | EAST LANSING
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State | MI
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Zip | 48823-6301
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Country | US
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Telephone | 734-778-2467
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Fax |
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Provider Business Mailing Address
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Address Line | 808 W LAKE LANSING RD STE 105
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City | EAST LANSING
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State | MI
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Zip | 48823-6301
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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 | THERAPIST
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Name | MR. ANDREW EVERETT SCHAFER
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Credential | LLP
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Telephone | 734-778-2467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301015393
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License Number State | MI
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