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General NPI Number Information
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NPI Number | 1548917206
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Entity Type | Organization
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Legal Business Name | HILLARY DVORAK, LLC
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 371 N JEFFERSON ST
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City | ZEELAND
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State | MI
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Zip | 49464-1019
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Country | US
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Telephone | 619-322-7630
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Fax |
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Provider Business Mailing Address
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Address Line | 371 N JEFFERSON ST
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City | ZEELAND
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State | MI
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Zip | 49464-1019
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, PSYCHOTHERAPIST
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Name | HILLARY DVORAK
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Credential | LCSW, LMSW
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Telephone | 619-322-7630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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