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General NPI Number Information
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NPI Number | 1770716110
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Entity Type | Individual
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Provider Name | SHERRI J BORTON LPC
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Gender | Female
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 09/02/2009
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Provider Practice Location Address
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Address Line | 2630 N MAPLE GROVE HWY
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City | HUDSON
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State | MI
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Zip | 49247-9622
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Country | US
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Telephone | 517-448-7273
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Fax | 517-448-2343
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Provider Business Mailing Address
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Address Line | 2630 N MAPLE GROVE HWY
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City | HUDSON
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State | MI
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Zip | 49247-9622
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Country | US
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Telephone | 517-448-7273
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Fax | 517-448-2343
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401008854
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 186051
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License Number State | MI
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