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General NPI Number Information
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NPI Number | 1710276084
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Entity Type | Organization
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Legal Business Name | SAMARITAN COUNSELING SERVICES
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 2890 CARPENTER RD STE 1600
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City | ANN ARBOR
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State | MI
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Zip | 48108-1100
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Country | US
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Telephone | 734-677-0609
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Fax | 734-677-3072
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Provider Business Mailing Address
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Address Line | 2890 CARPENTER RD STE 1600
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City | ANN ARBOR
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State | MI
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Zip | 48108-1100
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Country | US
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Telephone | 734-677-0609
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Fax | 734-677-3072
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. JOCELYN PYETT
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Credential | RN, LLP
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Telephone | 734-677-0609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 6801018804
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 6301005140
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License Number State | MI
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