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General NPI Number Information
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NPI Number | 1194323436
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Entity Type | Individual
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Provider Name | ALISON LEE RUDICK LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/09/2020
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 1556 LOUMILEN DR
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City | MUSKEGON
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State | MI
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Zip | 49445-1584
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Country | US
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Telephone | 616-889-6607
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Fax |
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Provider Business Mailing Address
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Address Line | 3084 KLUG ST
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City | MUSKEGON
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State | MI
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Zip | 49444-3223
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Country | US
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Telephone | 616-889-6607
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801108184
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License Number State | MI
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