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General NPI Number Information
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NPI Number | 1689560237
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Entity Type | Individual
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Provider Name | TERESA MARIE RAPSON
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Gender | Female
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 43825 MICHIGAN AVE
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City | CANTON
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State | MI
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Zip | 48188-2551
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Country | US
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Telephone | 734-397-3088
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Fax |
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Provider Business Mailing Address
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Address Line | 42426 SOMERSET CT
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City | CANTON
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State | MI
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Zip | 48187-3021
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Country | US
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Telephone | 734-891-3218
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 4704253736
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License Number State | MI
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