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General NPI Number Information
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NPI Number | 1760750210
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Entity Type | Individual
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Provider Name | DAWN HARRISON LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 106 S STEWART AVE
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City | FREMONT
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State | MI
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Zip | 49412-1624
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Country | US
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Telephone | 231-335-1718
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | MASON
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State | MI
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Zip | 48854-0010
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 37FJ00162300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4101006169
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License Number State | MI
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