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General NPI Number Information
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NPI Number | 1184239279
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Entity Type | Individual
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Provider Name | ROOPA SINGH
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Gender | Female
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 1555 E CHICAGO RD STE A
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City | STURGIS
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State | MI
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Zip | 49091-1993
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Country | US
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Telephone | 269-467-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 10751 S SAGINAW ST STE E
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City | GRAND BLANC
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State | MI
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Zip | 48439-8169
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6451023914
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License Number State | MI
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