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General NPI Number Information
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NPI Number | 1528886504
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Entity Type | Individual
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Provider Name | DAISY MICHALSKI HOLTHUS
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Gender | Female
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 205 N EAST AVE
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City | JACKSON
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State | MI
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Zip | 49201-1753
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Country | US
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Telephone | 517-205-5971
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Fax |
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Provider Business Mailing Address
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Address Line | 2388 PINECREST AVE
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City | ANN ARBOR
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State | MI
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Zip | 48104-5231
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Country | US
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Telephone | 858-775-3417
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6851120467
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License Number State | MI
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