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General NPI Number Information
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NPI Number | 1902053101
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Entity Type | Individual
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Provider Name | KAREN KRISTINE DUNHOLTER MSW, CSW
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Gender | Female
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 2514 BIDDLE AVE
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City | WYANDOTTE
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State | MI
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Zip | 48192-7891
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Country | US
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Telephone | 734-718-1327
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Fax |
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Provider Business Mailing Address
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Address Line | 14029 LUCERNE
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City | REDFORD
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State | MI
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Zip | 48239-2913
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Country | US
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Telephone | 734-718-1327
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801081916
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License Number State | MI
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