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General NPI Number Information
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NPI Number | 1205645371
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Entity Type | Organization
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Legal Business Name | CULTIVATING COMPASSION LLC
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 6812 OLD 28TH ST SE STE 4
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-6933
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Country | US
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Telephone | 616-287-4174
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Fax |
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Provider Business Mailing Address
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Address Line | 4343 STRATTON BLVD SE
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City | KENTWOOD
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State | MI
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Zip | 49512-5247
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Country | US
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Telephone | 734-725-8215
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | SARAH KAMBA
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Credential | LMSW
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Telephone | 734-725-8215
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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 |
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License Number State |
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