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General NPI Number Information
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NPI Number | 1114874351
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Entity Type | Individual
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Provider Name | ALESIA LYNN ADAMS
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Gender | Female
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 23800 NORTHWESTERN HWY
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City | SOUTHFIELD
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State | MI
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Zip | 48075-7710
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Country | US
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Telephone | 248-900-2166
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Fax |
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Provider Business Mailing Address
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Address Line | 13151 E OUTER DR
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City | DETROIT
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State | MI
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Zip | 48224-4207
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Country | US
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Telephone | 313-329-3556
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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