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General NPI Number Information
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NPI Number | 1770860090
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Entity Type | Organization
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Legal Business Name | H AUGUSTESEN PLLC
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Dates
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Enumeration Date | 11/15/2011
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1005 W GREEN STREET
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City | HASTINGS
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State | MI
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Zip | 49058
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Country | US
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Telephone | 269-948-8057
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Fax |
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Provider Business Mailing Address
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Address Line | 15795 PORT SHELDON STREET
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City | WEST OLIVE
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State | MI
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Zip | 49460
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Country | US
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Telephone | 269-343-3464
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HELLE AUGUSTESEN
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Credential | PHD
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Telephone | 269-343-3464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301008602
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License Number State | MI
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