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General NPI Number Information
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NPI Number | 1003723941
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Entity Type | Individual
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Provider Name | MARY EVELYN HOPKINSON
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Gender | Female
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 36400 WOODWARD AVE STE 222
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-0913
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Country | US
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Telephone | 248-629-2799
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Fax |
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Provider Business Mailing Address
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Address Line | 4871 STURTEVANT ST
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City | DETROIT
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State | MI
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Zip | 48204-1474
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Country | US
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Telephone | 267-822-2232
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6451025160
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License Number State | MI
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