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General NPI Number Information
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NPI Number | 1285435545
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Entity Type | Organization
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Legal Business Name | TELEMITTEN PLLC
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Dates
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Enumeration Date | 03/22/2025
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Last Update Date | 03/22/2025
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Provider Practice Location Address
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Address Line | 1919 S INDUSTRIAL HWY
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City | ANN ARBOR
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State | MI
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Zip | 48104-4740
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Country | US
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Telephone | 333-451-4184
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 51631
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City | LIVONIA
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State | MI
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Zip | 48151-5631
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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 | LMSW
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Name | JENNIFER NORICKS
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Credential |
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Telephone | 313-451-4184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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