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General NPI Number Information
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NPI Number | 1720784648
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Entity Type | Organization
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Legal Business Name | GREG WEICHHAND LLC
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Dates
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Enumeration Date | 02/02/2023
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 2716 EAST PARIS AVE SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-6139
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Country | US
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Telephone | 616-975-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 54 OSWEGO ST NW
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City | GRAND RAPIDS
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State | MI
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Zip | 49504-6046
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Country | US
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Telephone | 616-915-8400
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MR. GREGORY WEICHHAND
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Credential | LPC LLP CAADC
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Telephone | 616-915-8400
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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 |
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License Number State |
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