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General NPI Number Information
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NPI Number | 1407771546
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Entity Type | Individual
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Provider Name | CHERI LYNN GAMBLE LPC
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Gender | Female
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 5675 FAIRVIEW ST
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City | STEVENSVILLE
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State | MI
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Zip | 49127-1033
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Country | US
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Telephone | 269-429-7727
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Fax |
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Provider Business Mailing Address
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Address Line | 721 S 15TH ST
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City | NILES
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State | MI
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Zip | 49120-3843
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Country | US
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Telephone | 269-429-7727
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Fax | 269-429-5754
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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 | 6401226449
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License Number State | MI
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