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General NPI Number Information
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NPI Number | 1225990195
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Entity Type | Individual
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Provider Name | DEREK JORGENSEN
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Gender | Male
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1000 E PARIS AVE SE STE 160
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-8313
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Country | US
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Telephone | 231-668-4909
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Fax |
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Provider Business Mailing Address
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Address Line | 7201 SAYLES RD
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City | SARANAC
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State | MI
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Zip | 48881-9472
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Country | US
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Telephone | 616-755-3802
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | MI
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