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General NPI Number Information
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NPI Number | 1093493579
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Entity Type | Individual
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Provider Name | MRS. MAGHAN MARIE DAVIS
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Gender | Female
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Dates
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Enumeration Date | 07/06/2023
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 20600 EUREKA RD STE 800
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City | TAYLOR
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State | MI
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Zip | 48180-5343
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Country | US
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Telephone | 734-785-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 15182 PEBBLEBROOK DR
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City | VAN BUREN TWP
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State | MI
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Zip | 48111-5188
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Country | US
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Telephone | 313-588-5669
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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 |
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License Number State |
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