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General NPI Number Information
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NPI Number | 1275965766
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Entity Type | Organization
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Legal Business Name | D & S FAMILY COUNSELING
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 6711 HOXIE RD
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City | NORTH ADAMS
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State | MI
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Zip | 49262-9710
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Country | US
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Telephone | 517-315-3833
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Fax |
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Provider Business Mailing Address
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Address Line | 129 W MAIN ST SUITE 2
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City | MORENCI
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State | MI
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Zip | 49256-1418
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Country | US
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Telephone | 517-581-7174
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Fax |
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | DALE WILLIAM EICHENBERG
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Credential | LLPC
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Telephone | 517-581-7174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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