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General NPI Number Information
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NPI Number | 1407578438
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Entity Type | Organization
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Legal Business Name | 8TH HOUSE THERAPY
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Dates
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Enumeration Date | 09/15/2022
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 222 W GENESEE ST # 106
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City | LANSING
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State | MI
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Zip | 48933-1224
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Country | US
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Telephone | 734-707-9523
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Fax |
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Provider Business Mailing Address
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Address Line | 222 W GENESEE ST # 106
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City | LANSING
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State | MI
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Zip | 48933-1224
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Country | US
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Telephone | 734-707-9523
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Fax |
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Authorized Official
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Title or Position | OWNER OF ENTITY
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Name | NICOLE ARIEL LOPEZ
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Credential |
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Telephone | 734-707-9523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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