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General NPI Number Information
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NPI Number | 1790354645
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Entity Type | Individual
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Provider Name | LUKE I LEPPANEN LLPC
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Gender | Male
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Dates
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Enumeration Date | 06/23/2021
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 5087 US 41 S
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City | MARQUETTE
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State | MI
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Zip | 49855-9001
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Country | US
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Telephone | 906-263-0080
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Fax |
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Provider Business Mailing Address
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Address Line | 5087 US 41 S
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City | MARQUETTE
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State | MI
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Zip | 49855-9001
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Country | US
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Telephone | 906-263-0080
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 6451024445
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License Number State | MI
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