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General NPI Number Information
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NPI Number | 1861037111
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Entity Type | Organization
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Legal Business Name | WAY AHEAD COUNSELING PLLC
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Dates
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Enumeration Date | 11/11/2019
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Last Update Date | 11/11/2020
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Provider Practice Location Address
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Address Line | 813 W SOUTH ST STE 1C
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City | KALAMAZOO
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State | MI
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Zip | 49007-4696
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Country | US
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Telephone | 269-569-5376
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19525
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City | KALAMAZOO
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State | MI
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Zip | 49019-0525
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Country | US
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Telephone | 269-569-5376
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Fax |
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Authorized Official
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Title or Position | SELF, OWNER, SOLE MEMBER
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Name | JOSEPH UPPAL
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Credential | LMSW
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Telephone | 269-569-5376
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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 |
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License Number State |
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