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General NPI Number Information
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NPI Number | 1033249255
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Entity Type | Individual
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Provider Name | BARIKA MARISE BUTLER-QUARLES MD
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 18530 MACK AVE 116
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City | GROSSE POINTE
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State | MI
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Zip | 48236-3254
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Country | US
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Telephone | 313-855-5745
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Fax | 313-355-1567
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Provider Business Mailing Address
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Address Line | 18530 MACK AVE # 163
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City | GROSSE POINTE FARMS
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State | MI
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Zip | 48236-3254
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Country | US
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Telephone | 313-855-5745
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Fax | 313-355-1567
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301088119
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 4301088119
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License Number State | MI
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