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General NPI Number Information
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NPI Number | 1932249182
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Entity Type | Individual
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Provider Name | TYRA VAN GILDER LEMMEN M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 425 E WASHINGTON ST SUITE 101-A
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City | ANN ARBOR
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State | MI
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Zip | 48104-2024
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Country | US
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Telephone | 734-995-3042
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Fax |
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Provider Business Mailing Address
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Address Line | 3122 FAIRHAVEN CT
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City | ANN ARBOR
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State | MI
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Zip | 48105-9665
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Country | US
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Telephone | 734-665-7245
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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 | 6801035076
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License Number State | MI
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