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General NPI Number Information
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NPI Number | 1801165865
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Entity Type | Individual
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Provider Name | NATALIE WILKINSON MA, LLP
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Gender | Female
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Dates
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Enumeration Date | 12/21/2011
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 203 W MICHIGAN AVE STE 306
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City | SALINE
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State | MI
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Zip | 48176-1329
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Country | US
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Telephone | 734-564-3643
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Fax |
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Provider Business Mailing Address
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Address Line | 110 SAINT LOUIS ST
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City | MILAN
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State | MI
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Zip | 48160-1267
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Country | US
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Telephone | 734-564-3643
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 6301008015
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License Number State | MI
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