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General NPI Number Information
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NPI Number | 1982490736
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Entity Type | Individual
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Provider Name | SERAIAH SUNSHINE VILLAFUERTE LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 38935 ANN ARBOR RD
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City | LIVONIA
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State | MI
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Zip | 48150-3397
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Country | US
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Telephone | 248-886-9540
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Fax |
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Provider Business Mailing Address
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Address Line | 3540 BANKS RD APT 102
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City | MARGATE
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State | FL
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Zip | 33063-8437
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Country | US
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Telephone | 517-499-6429
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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 | 6801119965
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License Number State | MI
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