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General NPI Number Information
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NPI Number | 1952723074
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Entity Type | Organization
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Legal Business Name | TRANSCENDENT LIFE COUNSELING SERVICES
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Dates
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Enumeration Date | 01/08/2014
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Last Update Date | 01/08/2014
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Provider Practice Location Address
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Address Line | 26079 YORK RD
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City | HUNTINGTON WOODS
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State | MI
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Zip | 48070-1310
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Country | US
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Telephone | 313-717-7673
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Fax |
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Provider Business Mailing Address
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Address Line | 26079 YORK RD
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City | HUNTINGTON WOODS
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State | MI
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Zip | 48070-1310
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Country | US
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Telephone | 313-717-7673
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROSE MOTEN
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Credential | PHD
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Telephone | 313-717-7673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301011845
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License Number State | MH
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