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General NPI Number Information
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NPI Number | 1740961895
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Entity Type | Individual
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Provider Name | ERIN SILVA
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Gender | Female
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 28475 GREENFIELD RD STE 113
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City | SOUTHFIELD
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State | MI
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Zip | 48076-3034
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Country | US
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Telephone | 248-792-8273
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Fax |
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Provider Business Mailing Address
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Address Line | 632 E MOUNT GARFIELD RD
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City | NORTON SHORES
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State | MI
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Zip | 49441-6026
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Country | US
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Telephone | 231-260-1145
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6451023113
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License Number State | MI
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