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General NPI Number Information
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NPI Number | 1336339787
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Entity Type | Individual
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Provider Name | REBECCA FAITH DAVIS M.A., L.L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 07/31/2007
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Provider Practice Location Address
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Address Line | 4625 BECKLEY RD STE. 300
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City | BATTLE CREEK
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State | MI
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Zip | 49015-7948
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Country | US
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Telephone | 269-979-8119
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Fax | 269-979-8124
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Provider Business Mailing Address
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Address Line | 14840 6 1/2 MILE RD
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City | BATTLE CREEK
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State | MI
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Zip | 49014-9502
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Country | US
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Telephone | 269-962-6987
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 6401010244
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License Number State | MI
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