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General NPI Number Information
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NPI Number | 1588529747
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Entity Type | Individual
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Provider Name | DEAN W RAYMOND
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Gender | Male
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 57467 WATERWORKS ST
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City | CALUMET
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State | MI
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Zip | 49913-1258
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Country | US
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Telephone | 906-364-1556
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Fax |
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Provider Business Mailing Address
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Address Line | 101 E MARY STREET BESSEMER, 49911
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City | BESSMER
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State | MI
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Zip | 49911
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Country | US
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Telephone | 906-364-1556
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | NA
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License Number State | MI
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