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General NPI Number Information
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NPI Number | 1346004918
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Entity Type | Organization
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Legal Business Name | HARBOUR TOWNE COUNSELING AND PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 02/13/2024
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 3535 PARK STREET SUITE 101B
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City | NORTON SHORES
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State | MI
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Zip | 49444-3713
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Country | US
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Telephone | 231-375-7205
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Fax |
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Provider Business Mailing Address
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Address Line | 8 W WALTON AVE STE B
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City | MUSKEGON
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State | MI
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Zip | 49440-1360
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Country | US
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Telephone | 231-722-7980
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Fax | 231-722-7979
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Authorized Official
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Title or Position | PHYSICIAN'S ASSISTANT
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Name | MRS. DANA COCHRANE-HOEKSTRA
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Credential | PA
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Telephone | 231-375-7205
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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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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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