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General NPI Number Information
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NPI Number | 1346870425
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Entity Type | Individual
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Provider Name | CHERI STAHL LPC, NCC, GCDF
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Gender | Female
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Dates
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Enumeration Date | 01/17/2020
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 1415 HOWARD ST
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City | PETOSKEY
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State | MI
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Zip | 49770-3000
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Country | US
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Telephone | 231-348-2140
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Fax |
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Provider Business Mailing Address
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Address Line | 4833 LUSTER LEAF CIR APT 303
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City | MYRTLE BEACH
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State | SC
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Zip | 29577-7613
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Country | US
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Telephone | 231-564-0455
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6401017952
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License Number State | MI
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