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General NPI Number Information
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NPI Number | 1689100489
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Entity Type | Individual
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Provider Name | AARON THOMAS LPC
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Gender | Male
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 44444 MOUND RD STE 650
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-1355
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Country | US
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Telephone | 248-524-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 11119 JANIS ST
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City | UTICA
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State | MI
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Zip | 48317-5812
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Country | US
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Telephone | 586-201-8212
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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 | 6401224735
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License Number State | MI
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