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General NPI Number Information
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NPI Number | 1275258550
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Entity Type | Organization
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Legal Business Name | BREATHE AND BE COUNSELING
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Dates
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Enumeration Date | 10/10/2022
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 2512 CARPENTER RD STE 201B1
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City | ANN ARBOR
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State | MI
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Zip | 48108-1169
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Country | US
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Telephone | 734-218-4046
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Fax |
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Provider Business Mailing Address
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Address Line | 5531 ELLIS RD
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City | YPSILANTI
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State | MI
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Zip | 48197-8945
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Country | US
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Telephone | 734-218-4046
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | THERESA DUNBAR
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Credential | LLP
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Telephone | 734-218-4046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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