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General NPI Number Information
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NPI Number | 1699577833
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Entity Type | Individual
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Provider Name | HAILEY GLAAB
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Gender | Female
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 3505 BIDDLE AVE
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City | WYANDOTTE
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State | MI
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Zip | 48192-6559
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Country | US
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Telephone | 734-731-7074
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Fax |
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Provider Business Mailing Address
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Address Line | 25105 AUSTIN DR
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City | NEW BOSTON
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State | MI
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Zip | 48164-8910
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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