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General NPI Number Information
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NPI Number | 1699662106
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Entity Type | Individual
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Provider Name | ANNE DEEMER LLPC
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 3755 REMEMBRANCE RD NW STE 3
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City | GRAND RAPIDS
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State | MI
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Zip | 49534-7745
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Country | US
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Telephone | 616-259-5177
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Fax |
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Provider Business Mailing Address
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Address Line | 1870 GIDDINGS AVE SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49507-2857
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Country | US
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Telephone | 248-756-4239
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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 | 6451024450
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License Number State | MI
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