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General NPI Number Information
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NPI Number | 1437332871
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Entity Type | Individual
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Provider Name | JEANETTE MCDOWELL FORREST LLP
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Gender | Female
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 02/11/2019
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Provider Practice Location Address
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Address Line | 233 FULTON ST E STE 104
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-3261
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Country | US
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Telephone | 616-776-3923
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Fax | 616-776-3024
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Provider Business Mailing Address
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Address Line | 233 E FULTON ST SUITE 114-C
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-3200
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Country | US
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Telephone | 616-776-3923
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Fax | 616-776-3024
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 6301009848
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License Number State | MI
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