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General NPI Number Information
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NPI Number | 1497198014
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Entity Type | Organization
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Legal Business Name | JANET EGGERT PLLC
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Dates
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Enumeration Date | 04/12/2013
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Last Update Date | 05/10/2013
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Provider Practice Location Address
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Address Line | 2119 WHITE OWL WAY
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City | OKEMOS
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State | MI
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Zip | 48864-5206
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Country | US
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Telephone | 517-282-7598
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Fax |
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Provider Business Mailing Address
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Address Line | 2119 WHITE OWL WAY
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City | OKEMOS
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State | MI
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Zip | 48864-5206
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Country | US
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Telephone | 517-282-7598
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. JANET EGGERT
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Credential | PH.D.
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Telephone | 517-282-7598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301013712
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License Number State | MI
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