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General NPI Number Information
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NPI Number | 1992477319
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Entity Type | Organization
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Legal Business Name | P2 COLLECTIVE LLC
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 124 PEARL ST STE 404
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City | YPSILANTI
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State | MI
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Zip | 48197-2663
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Country | US
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Telephone | 734-210-0830
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Fax |
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Provider Business Mailing Address
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Address Line | 124 PEARL ST STE 404
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City | YPSILANTI
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State | MI
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Zip | 48197-2663
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER/THERAPIST
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Name | DIANA PARRISH
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Credential |
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Telephone | 734-210-0830
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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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