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General NPI Number Information
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NPI Number | 1467775668
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Entity Type | Organization
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Legal Business Name | TRANSITION PATHWAYS,INC
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 06/23/2015
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Provider Practice Location Address
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Address Line | 3355 EAGLE PARK DR NE STE 107
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-7004
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Country | US
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Telephone | 616-666-9921
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Fax | 866-222-8422
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Provider Business Mailing Address
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Address Line | 3355 EAGLE PARK DR NE STE 107
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-7004
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Country | US
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Telephone | 616-666-9921
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Fax | 866-222-8422
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. DAVID C. SCHROEDER
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Credential | LMSW
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Telephone | 616-666-9921
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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 | 6801097806
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License Number State | MI
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