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General NPI Number Information
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NPI Number | 1053767368
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Entity Type | Individual
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Provider Name | NAJM CLARK
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Gender | Female
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Dates
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Enumeration Date | 05/05/2016
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 25064 CATHEDRAL
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City | REDFORD
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State | MI
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Zip | 48239-1560
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Country | US
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Telephone | 248-238-7614
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Fax |
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Provider Business Mailing Address
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Address Line | 2 FAIRCHILD WAY
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City | GREENVILLE
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State | SC
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Zip | 29607-5569
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Country | US
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Telephone | 248-238-7614
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 31374
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License Number State | SC
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