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General NPI Number Information
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NPI Number | 1376106641
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Entity Type | Individual
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Provider Name | AUTUMN DE SILVA
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Gender | Female
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Dates
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Enumeration Date | 04/22/2019
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Last Update Date | 04/22/2019
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Provider Practice Location Address
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Address Line | 300 BAILEY ST
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City | EAST LANSING
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State | MI
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Zip | 48823-4444
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Country | US
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Telephone | 517-565-4475
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Fax |
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Provider Business Mailing Address
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Address Line | 2190 AURELIUS RD UNIT 82
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City | HOLT
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State | MI
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Zip | 48842-5503
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Country | US
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Telephone | 517-565-4475
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801100447
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License Number State | MI
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