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General NPI Number Information
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NPI Number | 1477192268
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Entity Type | Organization
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Legal Business Name | CHERYL A DES MONTAIGNES
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Dates
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Enumeration Date | 12/27/2019
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Last Update Date | 12/27/2019
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Provider Practice Location Address
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Address Line | 2010 HOGBACK RD STE 1A
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City | ANN ARBOR
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State | MI
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Zip | 48105-9779
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Country | US
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Telephone | 734-709-4160
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Fax |
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Provider Business Mailing Address
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Address Line | 2010 HOGBACK RD STE 1A
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City | ANN ARBOR
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State | MI
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Zip | 48105-9779
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Country | US
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Telephone | 734-709-4160
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JULIE LAFOREST
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Credential |
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Telephone | 313-633-4358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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