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General NPI Number Information
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NPI Number | 1396537890
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Entity Type | Individual
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Provider Name | MICHLYNNE MARIE COLPITTS
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Gender | Female
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 43740 N GROESBECK HWY
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48036-1139
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Country | US
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Telephone | 586-466-6222
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Fax |
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Provider Business Mailing Address
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Address Line | 45612 MARQUETTE DR
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City | MACOMB
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State | MI
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Zip | 48044-6042
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Country | US
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Telephone | 586-954-0821
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | MI
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