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General NPI Number Information
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NPI Number | 1346121928
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Entity Type | Organization
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Legal Business Name | ANNELISE NEARON PLLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 1627 MONROE ST
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City | DEARBORN
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State | MI
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Zip | 48124-2912
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Country | US
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Telephone | 734-216-4693
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Fax | 833-924-0369
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Provider Business Mailing Address
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Address Line | 23730 ROWE ST
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City | DEARBORN
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State | MI
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Zip | 48124-1631
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Country | US
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Telephone | 734-216-4693
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Fax | 833-924-0369
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | ANNELISE NEARON
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Credential | MA, LPC, ATR-P
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Telephone | 734-216-4693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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