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General NPI Number Information
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NPI Number | 1477119329
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Entity Type | Individual
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Provider Name | SARA MARIE RICE LPC
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Gender | Female
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Dates
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Enumeration Date | 05/16/2019
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 3500 BYRON CENTER AVE SW
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City | WYOMING
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State | MI
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Zip | 49519-3260
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Country | US
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Telephone | 616-208-9337
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Fax | 616-504-6669
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Provider Business Mailing Address
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Address Line | 2566 22 MILE RD NW
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City | KENT CITY
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State | MI
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Zip | 49330-9203
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Country | US
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Telephone | 616-208-9337
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Fax | 616-208-9337
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6241017318
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401222924
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License Number State | MI
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