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General NPI Number Information
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NPI Number | 1700574654
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Entity Type | Organization
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Legal Business Name | KRISTI MERRILLS PLC
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 509 HILBERT ST
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City | KALAMAZOO
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State | MI
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Zip | 49006-3178
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Country | US
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Telephone | 269-580-1698
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Fax |
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Provider Business Mailing Address
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Address Line | 509 HILBERT ST
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City | KALAMAZOO
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State | MI
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Zip | 49006-3178
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Country | US
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Telephone | 269-580-1698
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MS. KRISTI LEE MERRILLS
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Credential | LMSW
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Telephone | 269-580-1698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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