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General NPI Number Information
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NPI Number | 1083248389
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Entity Type | Individual
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Provider Name | TAYLOUR LEE
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Gender | Female
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 16000 W 9 MILE RD STE 315
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4835
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Country | US
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Telephone | 248-579-2188
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Fax |
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Provider Business Mailing Address
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Address Line | 35765 N GRANDVIEW CT
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City | FARMINGTON HILLS
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State | MI
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Zip | 48335-2414
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Country | US
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Telephone | 313-258-5900
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6361007587
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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