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General NPI Number Information
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NPI Number | 1902628571
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Entity Type | Individual
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Provider Name | EMILY KAPP MA, LLC
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Gender |
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Dates
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Enumeration Date | 10/25/2024
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 720 W FRANKLIN ST
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City | JACKSON
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State | MI
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Zip | 49201-1674
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Country | US
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Telephone | 734-219-6614
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Fax |
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Provider Business Mailing Address
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Address Line | 1713 HERBERT ST
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City | LANSING
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State | MI
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Zip | 48910-1514
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Country | US
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Telephone | 517-242-6003
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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