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General NPI Number Information
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NPI Number | 1205278553
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Entity Type | Individual
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Provider Name | ERIKA MARTINEZ FELDPAUSCH LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/26/2013
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Last Update Date | 07/26/2013
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Provider Practice Location Address
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Address Line | 1500 EAST MEDICAL CENTER DR LEVEL 5 RECP. B
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City | ANN ARBOR
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State | MI
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Zip | 48109-4228
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Country | US
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Telephone | 734-232-7527
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Fax | 734-232-7516
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Provider Business Mailing Address
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Address Line | 3621 SOUTH STATE ST 700 KMS PLACE
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City | ANN ARBOR
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State | MI
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Zip | 48108
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Country | US
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Telephone | 734-936-2047
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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 | 6801093919
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801093919
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License Number State | MI
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