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General NPI Number Information
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NPI Number | 1265971121
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Entity Type | Individual
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Provider Name | PERIANNE MURPHY VANBELOIS
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Gender | Female
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 03/17/2023
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Provider Practice Location Address
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Address Line | 1680 E PARIS AVE SE STE 300
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-8809
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Country | US
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Telephone | 616-288-4561
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Fax |
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Provider Business Mailing Address
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Address Line | 1680 E PARIS AVE SE STE 300
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-8809
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 640105926
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4101007178
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401017274
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License Number State | MI
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