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General NPI Number Information
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NPI Number | 1467360982
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Entity Type | Individual
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Provider Name | REBECCA HAMM MARTIN
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Gender | Female
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 4764 FULTON ST E STE 204
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City | ADA
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State | MI
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Zip | 49301-9086
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Country | US
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Telephone | 616-450-3089
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Fax |
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Provider Business Mailing Address
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Address Line | 777 DOGWOOD AVE NE
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City | ADA
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State | MI
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Zip | 49301-9037
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Country | US
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Telephone | 616-450-3089
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6851122304
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License Number State | MI
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