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General NPI Number Information
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NPI Number | 1316085285
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Entity Type | Individual
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Provider Name | SHARON ANN DVORSKY MSW,LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3150 HALLMARK CT
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City | SAGINAW
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State | MI
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Zip | 48603-2173
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Country | US
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Telephone | 989-790-3366
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Fax |
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Provider Business Mailing Address
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Address Line | 257 GRISSOM CT
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City | FLUSHING
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State | MI
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Zip | 48433-9313
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Country | US
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Telephone | 810-513-1355
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | L788477
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License Number State | MI
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