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General NPI Number Information
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NPI Number | 1265285811
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Entity Type | Individual
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Provider Name | MOLLY B SCHAAR LLMFT
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Gender | Female
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Dates
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Enumeration Date | 04/11/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 5900 S MAIN ST STE 100
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City | CLARKSTON
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State | MI
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Zip | 48346-2378
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Country | US
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Telephone | 248-843-2160
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Fax |
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Provider Business Mailing Address
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Address Line | 1902 PEACHTREE LN
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City | SOUTH BEND
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State | IN
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Zip | 46617-1835
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Country | US
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Telephone | 574-584-4742
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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 | 4151001136
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License Number State | MI
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