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General NPI Number Information
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NPI Number | 1447926720
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Entity Type | Organization
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Legal Business Name | LIVING WITH INTENTION, LLC
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 30 INDIAN TRL
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City | MUNITH
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State | MI
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Zip | 49259-9763
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Country | US
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Telephone | 517-581-3184
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Fax |
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Provider Business Mailing Address
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Address Line | 11586 BUNKERHILL RD # 192
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City | PLEASANT LAKE
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State | MI
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Zip | 49272-9786
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Country | US
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Telephone | 517-518-3184
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | MS. LINDA AR
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Credential | LMSW
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Telephone | 517-581-3184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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