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General NPI Number Information
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NPI Number | 1285503672
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Entity Type | Individual
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Provider Name | DEL FEHSENFELD III LMFT
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Gender | Male
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 8830 M 140
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City | BERRIEN CENTER
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State | MI
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Zip | 49102-8732
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Country | US
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Telephone | 269-461-6601
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Fax |
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Provider Business Mailing Address
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Address Line | 121 HUMMINGBIRD LN
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City | NILES
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State | MI
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Zip | 49120-7806
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Country | US
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Telephone | 269-697-2015
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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 | 4101006794
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License Number State | MI
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