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General NPI Number Information
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NPI Number | 1124633755
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Entity Type | Individual
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Provider Name | GIANNA GARZA LLP
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Gender | Female
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7035 ORCHARD LAKE RD STE 800
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-5301
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Country | US
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Telephone | 248-669-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 14610 HOERNING AVE
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City | WARREN
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State | MI
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Zip | 48088-6042
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Country | US
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Telephone | 586-216-7511
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6362009112
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License Number State | MI
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