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General NPI Number Information
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NPI Number | 1639441611
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Entity Type | Organization
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Legal Business Name | ASSOCIATION FOR CHILDREN'S MENTAL HEALTH
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Dates
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Enumeration Date | 02/06/2012
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Last Update Date | 02/06/2012
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Provider Practice Location Address
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Address Line | 6017 W ST JOE HWY SUITE 200
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City | LANSING
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State | MI
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Zip | 48917-4874
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Country | US
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Telephone | 517-372-4016
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Fax | 517-372-4032
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Provider Business Mailing Address
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Address Line | 6017 W. ST. JOE HWY SUITE 200
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City | LANSING
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State | MI
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Zip | 48917-4874
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Country | US
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Telephone | 517-372-4016
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Fax | 517-372-4032
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MALISA MARIE PEARSON
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Credential |
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Telephone | 517-372-4016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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