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General NPI Number Information
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NPI Number | 1740632447
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Entity Type | Individual
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Provider Name | MICHELLE WARING MS, QBHP
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Gender | Female
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 15930 19 MILE RD SUITE 150
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City | CLINTON TWP
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State | MI
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Zip | 48038-1155
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Country | US
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Telephone | 586-464-0175
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Fax |
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Provider Business Mailing Address
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Address Line | 2960 CULBERTSON AVE
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-4618
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Country | US
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Telephone | 248-318-2557
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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