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NPI 1689869687

NPI 1689869687 : MARK ALAN APMAN 4101006102 : MUSKEGON, MI

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General NPI Number Information
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    NPI Number           |    1689869687
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    Entity Type          |    Individual 
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    Provider Name        |    MARK ALAN APMAN 4101006102
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/12/2007
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    Last Update Date     |    09/12/2007
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Provider Practice Location Address
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    Address Line         |    130 E APPLE AVE 
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    City                 |    MUSKEGON
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    State                |    MI
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    Zip                  |    49442-3405
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    Country              |    US
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    Telephone            |    231-728-2138
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    Fax                  |    231-722-4771
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Provider Business Mailing Address
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    Address Line         |    130 E APPLE AVE 
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    City                 |    MUSKEGON
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    State                |    MI
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    Zip                  |    49442-3405
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    Country              |    US
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    Telephone            |    231-728-2138
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    Fax                  |    231-722-4771
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    4101006102
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    License Number State |    MI
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