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General NPI Number Information
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NPI Number | 1093443467
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Entity Type | Individual
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Provider Name | AKIRA SCOTT LLMSW
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Gender | Female
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Dates
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Enumeration Date | 08/12/2022
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 20491 GARDENDALE ST
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City | DETROIT
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State | MI
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Zip | 48221-1305
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Country | US
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Telephone | 313-978-5605
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Fax |
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Provider Business Mailing Address
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Address Line | TROY MEDICAL PLAZA, 1777 AXTELL DR. #100,
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City | TROY
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State | MI
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Zip | 48084
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Country | US
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Telephone | 248-862-1171
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6851115183
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License Number State | MI
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