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General NPI Number Information
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NPI Number | 1083768147
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Entity Type | Individual
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Provider Name | LOREN E. HOLLANDER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 30301 WOODWARD AVE SUITE LL165
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City | ROYAL OAK
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State | MI
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Zip | 48073-0979
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Country | US
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Telephone | 248-763-8547
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Fax | 248-435-4765
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Provider Business Mailing Address
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Address Line | 14630 TALBOT ST
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City | OAK PARK
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State | MI
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Zip | 48237-1159
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Country | US
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Telephone | 248-763-8547
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Fax | 248-435-4765
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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 | 6301002855
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 6301002855
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License Number State | MI
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