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General NPI Number Information
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NPI Number | 1467264374
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Entity Type | Organization
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Legal Business Name | ALMANZA THERAPY SOLUTIONS
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 4829 E BELTLINE AVE NE STE 101
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-9349
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Country | US
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Telephone | 616-263-6172
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Fax |
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Provider Business Mailing Address
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Address Line | 3841 HAZELWOOD AVE SW
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City | WYOMING
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State | MI
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Zip | 49519-3629
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Country | US
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Telephone | 616-498-9216
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Fax |
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Authorized Official
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Title or Position | MASTERS SOCIAL WORKER
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Name | SHARI ALMANZA
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Credential | LMSW
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Telephone | 616-498-9216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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