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General NPI Number Information
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NPI Number | 1811687197
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Entity Type | Individual
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Provider Name | ANN WAIGHT LLC
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Gender | Female
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Dates
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Enumeration Date | 05/10/2023
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 496 W ANN ARBOR TRL
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City | PLYMOUTH
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State | MI
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Zip | 48170-6262
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Country | US
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Telephone | 85-524-8787
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Fax | 119-324-8385
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Provider Business Mailing Address
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Address Line | 41885 ECHO FOREST CT
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City | CANTON
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State | MI
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Zip | 48188-4823
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Country | US
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Telephone | 734-748-2012
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6451022969
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License Number State | MI
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