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General NPI Number Information
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NPI Number | 1780922559
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Entity Type | Organization
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Legal Business Name | MARK A SCHEFFERS LMSW PLLC
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Dates
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Enumeration Date | 01/29/2013
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Last Update Date | 01/29/2013
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Provider Practice Location Address
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Address Line | 605 HOWARD ST
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City | KALAMAZOO
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State | MI
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Zip | 49008-1919
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Country | US
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Telephone | 269-350-6324
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Fax | 269-743-3694
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Provider Business Mailing Address
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Address Line | 605 HOWARD ST
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City | KALAMAZOO
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State | MI
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Zip | 49008-1919
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Country | US
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Telephone | 269-350-6324
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Fax |
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Authorized Official
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Title or Position | CLINICIAN
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Name | MR. MARK SCHEFFERS
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Credential | LMSW
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Telephone | 269-350-6324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801091379
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License Number State | MI
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