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General NPI Number Information
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NPI Number | 1396336236
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Entity Type | Individual
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Provider Name | MICHAEL W SPRINGER
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Gender | Male
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Dates
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Enumeration Date | 02/02/2021
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 175 S RIDGE RD STE 200
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City | MCKINNEY
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State | TX
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Zip | 75072-5104
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Country | US
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Telephone | 469-833-2247
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Fax |
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Provider Business Mailing Address
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Address Line | 161 WILTON GANSEVOORT RD
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City | GANSEVOORT
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State | NY
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Zip | 12831-1939
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Country | US
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Telephone | 518-791-4647
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 013487
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 93617
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License Number State | TX
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