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General NPI Number Information
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NPI Number | 1427691666
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Entity Type | Individual
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Provider Name | MARION ANITA SMITH MA, LLPC
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Gender | Female
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Dates
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Enumeration Date | 10/21/2019
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 801 HAZEN ST # C PO BOX 249
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City | PAW PAW
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State | MI
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Zip | 49079
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Country | US
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Telephone | 269-657-5574
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Fax | 269-652-3474
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Provider Business Mailing Address
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Address Line | 61899M-43 PO BOX 179, VAN BURTEN COMMUNITY MENTAL HEALT
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City | BANGER
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State | MI
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Zip | 49013
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Country | US
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Telephone | 269-427-5671
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Fax | 269-427-1012
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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 | 6451024363
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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