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General NPI Number Information
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NPI Number | 1245579598
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Entity Type | Individual
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Provider Name | GENA MARIE VOIT MA, MFT
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Gender | Female
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 1220 6TH ST
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City | PORT HURON
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State | MI
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Zip | 48060-5349
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Country | US
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Telephone | 810-987-8772
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Fax |
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Provider Business Mailing Address
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Address Line | 7925 FOUNTAIN ST
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City | BURTCHVILLE
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State | MI
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Zip | 48059-1923
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Country | US
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Telephone | 810-327-0128
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4101006555
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License Number State | MI
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