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General NPI Number Information
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NPI Number | 1235840117
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Entity Type | Individual
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Provider Name | MICHELE HEARN-JONES
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Gender | Female
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Dates
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Enumeration Date | 12/12/2022
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Last Update Date | 12/12/2022
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Provider Practice Location Address
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Address Line | 32231 SCHOOLCRAFT RD
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City | LIVONIA
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State | MI
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Zip | 48150-4312
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Country | US
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Telephone | 810-291-5087
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Fax |
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Provider Business Mailing Address
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Address Line | 13780 TALBOT ST
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City | OAK PARK
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State | MI
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Zip | 48237-1181
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Country | US
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Telephone | 313-289-4493
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6451022308
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License Number State | MI
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