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General NPI Number Information
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NPI Number | 1801707021
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Entity Type | Individual
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Provider Name | LILLIAN RAE COLLINS LLMSW
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Gender | Female
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 246 E KILGORE RD
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City | PORTAGE
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State | MI
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Zip | 49002-0507
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Country | US
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Telephone | 269-249-7179
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Fax | 269-459-7149
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Provider Business Mailing Address
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Address Line | 715 NORTH DR E
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City | MARSHALL
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State | MI
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Zip | 49068-1287
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6851122531
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License Number State | MI
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