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General NPI Number Information
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NPI Number | 1245319524
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Entity Type | Individual
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Provider Name | BELINDA MCCONNELL ATCHISON
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/12/2016
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Provider Practice Location Address
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Address Line | 10495 NORTHLAND DR
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City | BIG RAPIDS
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State | MI
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Zip | 49307-8740
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Country | US
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Telephone | 412-879-0401
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Fax |
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Provider Business Mailing Address
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Address Line | 19643 HEIGHTS CIRCLE DR
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City | BIG RAPIDS
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State | MI
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Zip | 49307-9470
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Country | US
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Telephone | 231-679-0304
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | C-01407
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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 | 6401010806
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301011028
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License Number State | MI
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