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General NPI Number Information
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NPI Number | 1407477722
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Entity Type | Individual
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Provider Name | MICHELLE KAY ANDERS
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Gender | Female
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Dates
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Enumeration Date | 04/27/2020
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 733S HINDRY AVE
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City | INGLEWOOD
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State | CA
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Zip | 90301-3005
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Country | US
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Telephone | 310-357-3669
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Fax |
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Provider Business Mailing Address
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Address Line | 13621 VAN NESS AVE # 813621
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City | GARDENA
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State | CA
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Zip | 90249-2435
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Country | US
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Telephone | 310-259-1391
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225CA2400X
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Taxonomy Name | Assistive Technology Practitioner Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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