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General NPI Number Information
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NPI Number | 1316216963
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Entity Type | Individual
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Provider Name | SUSAN A MICHNAY LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/27/2011
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 8920 SOUTHPOINTE DR STE E1
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-7505
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Country | US
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Telephone | 317-851-1004
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Fax | 317-386-7695
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Provider Business Mailing Address
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Address Line | 898 E MAIN ST
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City | GREENWOOD
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State | IN
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Zip | 46143-1407
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Country | US
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Telephone | 317-887-1348
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Fax | 317-885-9063
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34004865A
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License Number State | IN
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