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General NPI Number Information
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NPI Number | 1811488877
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Entity Type | Individual
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Provider Name | CARRIE MILLIS BABE MS, LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/25/2018
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Last Update Date | 06/06/2018
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Provider Practice Location Address
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Address Line | 23095 KIRKLAND CT
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City | NORTHVILLE
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State | MI
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Zip | 48167
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Country | US
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Telephone | 773-531-4360
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Fax |
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Provider Business Mailing Address
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Address Line | 23095 KIRKLAND CT
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City | NORTHVILLE
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State | MI
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Zip | 48167-8519
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Country | US
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Telephone | 773-531-4360
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001258-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4101006796
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License Number State | MI
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