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General NPI Number Information
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NPI Number | 1992756142
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Entity Type | Individual
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Provider Name | MICHELLE ANTOINETTE OURSLER LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 131 COLUMBIA AVE E
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City | BATTLE CREEK
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State | MI
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Zip | 49015-3788
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Country | US
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Telephone | 269-425-8506
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Fax | 269-979-8492
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Provider Business Mailing Address
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Address Line | 708 GETHINGS CIR
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City | BATTLE CREEK
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State | MI
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Zip | 49015-8718
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Country | US
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Telephone | 269-425-8506
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Fax | 269-979-8492
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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 | 6801080260
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License Number State | MI
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