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General NPI Number Information
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NPI Number | 1174439798
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Entity Type | Organization
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Legal Business Name | THREE SHORES HEALTH CARE
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Dates
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Enumeration Date | 08/22/2026
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Last Update Date | 08/22/2026
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Provider Practice Location Address
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Address Line | 8000 WARREN WOODS RD LOT 68
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City | THREE OAKS
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State | MI
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Zip | 49128-9573
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Country | US
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Telephone | 574-220-4676
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Fax |
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Provider Business Mailing Address
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Address Line | 8000 WARREN WOODS RD LOT 68
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City | THREE OAKS
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State | MI
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Zip | 49128-9573
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Country | US
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Telephone | 574-220-4676
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | KAREN ANN DECOCKER
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Credential | DNP, PMHNP-BC
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Telephone | 574-220-4676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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