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General NPI Number Information
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NPI Number | 1225413818
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Entity Type | Individual
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Provider Name | KIM ANNE-HASHOIAN SMITH MA, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 07/23/2015
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Last Update Date | 09/11/2018
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Provider Practice Location Address
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Address Line | 6548 TOWN CENTER DR
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City | CLARKSTON
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State | MI
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Zip | 48346-4823
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Country | US
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Telephone | 800-693-1916
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Fax |
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Provider Business Mailing Address
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Address Line | 510 RIVER RIDGE DR
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City | WATERFORD
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State | MI
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Zip | 48327-2887
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Country | US
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Telephone | 248-420-2885
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6401010293
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401010293
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License Number State | MI
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