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General NPI Number Information
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NPI Number | 1821677618
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Entity Type | Individual
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Provider Name | MISS MARIELE ANN FELDPAUSCH
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Gender | Female
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 4301 CANAL AVE SW STE 201B
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City | GRANDVILLE
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State | MI
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Zip | 49418-2667
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Country | US
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Telephone | 616-202-6560
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Fax |
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Provider Business Mailing Address
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Address Line | 10650 W KINLEY RD
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City | FOWLER
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State | MI
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Zip | 48835-9714
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Country | US
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Telephone | 989-640-8381
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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 | 6451023319
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License Number State | MI
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