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General NPI Number Information
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NPI Number | 1881175875
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Entity Type | Organization
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Legal Business Name | DAYSPRING VISION COUNSELING, PLLC
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 2820 W MAPLE RD STE 241
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City | TROY
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State | MI
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Zip | 48084-7048
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Country | US
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Telephone | 248-385-2320
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Fax |
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Provider Business Mailing Address
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Address Line | 2820 W MAPLE RD STE 241
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City | TROY
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State | MI
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Zip | 48084-7048
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Country | US
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Telephone | 248-385-2320
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER/COUNSELOR
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Name | MISS LIA JAMERSON
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Credential | MA, LPC, NCC
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Telephone | 248-385-2320
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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 |
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License Number State |
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