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General NPI Number Information
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NPI Number | 1447180336
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Entity Type | Individual
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Provider Name | AUDREY ELAINE MEADER PSY.S
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Gender | Female
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Dates
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Enumeration Date | 05/21/2026
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Last Update Date | 05/21/2026
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Provider Practice Location Address
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Address Line | 1458 5TH ST
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City | MUSKEGON
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State | MI
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Zip | 49441-2117
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Country | US
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Telephone | 231-720-2488
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Fax |
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Provider Business Mailing Address
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Address Line | 4954 PAW PAW LAKE RD
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City | COLOMA
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State | MI
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Zip | 49038-9607
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Country | US
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Telephone | 269-363-7994
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | PP0000001218376
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License Number State | MI
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