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General NPI Number Information
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NPI Number | 1750958856
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Entity Type | Organization
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Legal Business Name | SCHANDA TARKOWSKI PLLC
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Dates
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Enumeration Date | 06/07/2021
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 4328 E FREELAND RD
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City | FREELAND
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State | MI
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Zip | 48623-9411
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Country | US
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Telephone | 989-492-0404
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Fax |
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Provider Business Mailing Address
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Address Line | 4328 E FREELAND RD
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City | FREELAND
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State | MI
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Zip | 48623-9411
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Country | US
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Telephone | 989-492-0404
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCHANDA JO TARKOWSKI
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Credential | MA, LLPC
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Telephone | 989-492-0404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 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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