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General NPI Number Information
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NPI Number | 1225426695
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Entity Type | Individual
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Provider Name | MARK PANASIEWICZ
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Gender | Male
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | CARING ABOUT PARTNERS (CAP) 25681 N. LAIRD HTS RD
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City | PELKIE
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State | MI
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Zip | 49958
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Country | US
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Telephone | 906-281-7554
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Fax |
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Provider Business Mailing Address
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Address Line | 813 SIGSBEE RD APT 301
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City | KEY WEST
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State | FL
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Zip | 33040-6700
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Country | US
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Telephone | 906-281-7554
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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 | 6801096888
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License Number State | MI
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