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General NPI Number Information
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NPI Number | 1164716361
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Entity Type | Individual
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Provider Name | RALPH L HARMON JR. LMSW, CAADC
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Gender | Male
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 511 HUSTLER ST
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City | GWINN
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State | MI
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Zip | 49841-2903
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Country | US
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Telephone | 906-250-2382
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | MASON
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State | MI
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Zip | 48854-0010
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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 |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801074257
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License Number State | MI
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