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General NPI Number Information
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NPI Number | 1528756988
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Entity Type | Individual
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Provider Name | EMILY KATHERINE PICKNEY LLMSW
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Gender | Female
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Dates
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Enumeration Date | 04/25/2023
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 61899 M 43
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City | BANGOR
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State | MI
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Zip | 49013-9621
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Country | US
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Telephone | 877-252-2131
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Fax |
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Provider Business Mailing Address
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Address Line | 9955 BALDWIN RD APT 36
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City | BRIDGMAN
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State | MI
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Zip | 49106-9718
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Country | US
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Telephone | 517-260-8244
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6851115131
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License Number State | MI
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