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General NPI Number Information
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NPI Number | 1881860427
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Entity Type | Individual
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Provider Name | DEBORAH A TOMCZAK MS, LLP, LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/04/2008
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Last Update Date | 05/04/2008
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Provider Practice Location Address
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Address Line | 806 W CEDAR ST SUITE 4
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City | STANDISH
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State | MI
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Zip | 48658-9550
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Country | US
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Telephone | 989-846-4991
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Fax | 989-846-4991
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Provider Business Mailing Address
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Address Line | 806 W CEDAR ST STE 4 PO BOX 274
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City | STANDISH
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State | MI
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Zip | 48658-9550
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Country | US
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Telephone | 989-846-4991
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Fax | 989-846-4991
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301002798
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801065510
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License Number State | MI
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