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General NPI Number Information
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NPI Number | 1366554396
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Entity Type | Individual
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Provider Name | DORIS L HALE LPC
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 402 THORNTON ST
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City | MIDDLEVILLE
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State | MI
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Zip | 49333-9706
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Country | US
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Telephone | 269-795-2243
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Fax | 269-795-5315
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Provider Business Mailing Address
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Address Line | PO BOX 339
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City | MIDDLEVILLE
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State | MI
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Zip | 49333-0339
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Country | US
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Telephone | 269-795-2243
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Fax | 269-795-5315
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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 | 7400100
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License Number State | MI
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