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General NPI Number Information
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NPI Number | 1972490183
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Entity Type | Individual
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Provider Name | ANNA CLAIRE VAN HESE
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Gender | Female
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 400 STODDARD RD
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City | RICHMOND
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State | MI
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Zip | 48062-2505
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Country | US
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Telephone | 810-392-2167
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Fax |
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Provider Business Mailing Address
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Address Line | 4624 REGINA DR
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316-3944
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Country | US
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Telephone | 248-217-8361
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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