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General NPI Number Information
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NPI Number | 1386674661
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Entity Type | Individual
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Provider Name | REBECCA L SMITH LPC
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 166 SOUTH THIRD STREET
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City | WEST BRANCH
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State | MI
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Zip | 48661
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Country | US
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Telephone | 989-701-2212
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Fax | 989-419-6094
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Provider Business Mailing Address
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Address Line | 4368 WEST LAKESIDE DRIVE
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City | WEST BRANCH
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State | MI
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Zip | 48661
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Country | US
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Telephone | 810-869-0874
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Fax | 989-419-6094
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401012553
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801075457
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401017214
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License Number State | MI
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