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General NPI Number Information
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NPI Number | 1962208942
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Entity Type | Organization
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Legal Business Name | ZENIFY P.L.L.C
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 8124 DERRY RD
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City | VESTABURG
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State | MI
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Zip | 48891-9431
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Country | US
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Telephone | 989-304-8162
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Fax |
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Provider Business Mailing Address
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Address Line | 2222 W GRAND RIVER AVE STE A
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City | OKEMOS
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State | MI
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Zip | 48864-1604
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Country | US
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Telephone | 989-304-8162
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | SAMANTHA TERWILLIGER-KUIPER
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Credential | MA, LLC
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Telephone | 989-304-8162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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