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General NPI Number Information
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NPI Number | 1801525019
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Entity Type | Individual
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Provider Name | KIRSTYN KNAUF LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/06/2022
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 4151 SHRESTHA DR STE D
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City | BAY CITY
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State | MI
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Zip | 48706-2171
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Country | US
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Telephone | 586-249-7104
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Fax |
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Provider Business Mailing Address
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Address Line | 33 WHITE TAIL CREEK RD STE 2
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City | SAGINAW
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State | MI
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Zip | 48638-5896
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Country | US
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Telephone | 989-220-3060
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801120531
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License Number State | MI
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