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General NPI Number Information
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NPI Number | 1346994464
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Entity Type | Individual
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Provider Name | GINA SALZENSTEIN LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 2265 LIVERNOIS RD STE 410
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City | TROY
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State | MI
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Zip | 48083-1606
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Country | US
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Telephone | 248-854-6382
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Fax |
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Provider Business Mailing Address
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Address Line | 31643 WALTHAM DR
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City | BEVERLY HILLS
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State | MI
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Zip | 48025-5120
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801071457
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License Number State | MI
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