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General NPI Number Information
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NPI Number | 1891141289
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Entity Type | Individual
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Provider Name | BRENDA WEINGARTZ MA
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Gender | Female
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 01/31/2018
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Provider Practice Location Address
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Address Line | 51 AUSTIN ST
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City | SANDUSKY
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State | MI
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Zip | 48471-1244
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Country | US
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Telephone | 810-689-4846
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Fax | 810-958-1430
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Provider Business Mailing Address
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Address Line | 5110 HAWTHORN DR
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City | BROWN CITY
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State | MI
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Zip | 48416-8032
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Country | US
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Telephone | 810-338-2927
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6401009066
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License Number State | MI
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