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General NPI Number Information
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NPI Number | 1518242932
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Entity Type | Individual
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Provider Name | CHERYL LYNN ROSENBAUM M.A., LLP
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Gender | Female
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Dates
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Enumeration Date | 10/17/2011
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 165 WASHINGTON AVE N
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City | BATTLE CREEK
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State | MI
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Zip | 49037-2929
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Country | US
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Telephone | 269-245-8340
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Fax | 269-245-8373
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Provider Business Mailing Address
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Address Line | 139 ABBINGTON COURT
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City | BATTLE CREEK
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State | MI
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Zip | 49015
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Country | US
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Telephone | 269-565-1383
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6301010900
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License Number State | MI
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