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General NPI Number Information
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NPI Number | 1386188423
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Entity Type | Organization
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Legal Business Name | ALPHABET SHUFFLE, LLC
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Dates
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Enumeration Date | 12/08/2016
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Last Update Date | 12/08/2016
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Provider Practice Location Address
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Address Line | 805 1ST ST
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City | MENOMINEE
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State | MI
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Zip | 49858-3231
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Country | US
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Telephone | 906-424-4476
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Fax | 906-424-4480
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Provider Business Mailing Address
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Address Line | 805 1ST ST
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City | MENOMINEE
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State | MI
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Zip | 49858-3231
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Country | US
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Telephone | 906-424-4476
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Fax | 906-424-4480
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Authorized Official
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Title or Position | OWNER
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Name | SHERRY LYNN BENSON
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Credential | LCSW, CCTP
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Telephone | 906-424-4476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6801098834
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License Number State | MI
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