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General NPI Number Information
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NPI Number | 1639405368
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Entity Type | Individual
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Provider Name | ROBERT C EINHARDT LPC
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Gender | Male
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Dates
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Enumeration Date | 10/30/2009
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Last Update Date | 03/29/2018
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Provider Practice Location Address
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Address Line | 6100 NEWPORT RD STE 222
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City | PORTAGE
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State | MI
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Zip | 49002-9235
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Country | US
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Telephone | 269-250-0821
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Fax |
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Provider Business Mailing Address
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Address Line | 6100 NEWPORT RD STE 222
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City | PORTAGE
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State | MI
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Zip | 49002-9235
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Country | US
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Telephone | 269-250-0821
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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 | 6401003317
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License Number State | MI
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