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General NPI Number Information
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NPI Number | 1215027198
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Entity Type | Individual
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Provider Name | KAREN BORRUSO MSW, LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 12/15/2020
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Provider Practice Location Address
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Address Line | 2360 S LINDEN RD SUITE 300
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City | FLINT
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State | MI
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Zip | 48532-5420
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Country | US
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Telephone | 810-732-0560
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Fax | 810-732-6351
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Provider Business Mailing Address
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Address Line | 16516 W HORSESHOE TRL
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City | LINDEN
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State | MI
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Zip | 48451-8938
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Country | US
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Telephone | 810-629-5316
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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 |
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License Number State |
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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 | 6801067215
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801067215
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License Number State | MI
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