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General NPI Number Information
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NPI Number | 1922463223
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Entity Type | Organization
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Legal Business Name | MICHELINE SOMMERS, LLC
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Dates
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Enumeration Date | 12/31/2015
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 945 S ROCHESTER RD
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-2762
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Country | US
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Telephone | 248-434-8227
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Fax | 248-841-4714
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Provider Business Mailing Address
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Address Line | 1147 GRANDVIEW DR
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City | ROCHESTER HILLS
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State | MI
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Zip | 48306-4031
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Country | US
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Telephone | 248-652-8528
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Fax | 248-841-4714
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MICHELINE SOMMERS
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Credential | LMSW
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Telephone | 248-652-8528
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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 | 6801033725
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License Number State | MI
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