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General NPI Number Information
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NPI Number | 1093747602
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Entity Type | Individual
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Provider Name | JAMES A. LACOMBE PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 20600 EUREKA RD SUITE NUMBER 720
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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 | 734-281-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 45752 TOURNAMENT DR
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City | NORTHVILLE
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State | MI
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Zip | 48168-9631
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Country | US
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Telephone | 734-667-3156
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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 | 6301005421
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License Number State | MI
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