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General NPI Number Information
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NPI Number | 1144983198
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Entity Type | Individual
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Provider Name | DOMINIQUE EUNICE MOORE LLC
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Gender | Female
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 8150 OLD 13 MILE RD
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City | WARREN
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State | MI
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Zip | 48093-8700
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Country | US
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Telephone | 800-395-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 26545 AMERICAN DR
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City | SOUTHFIELD
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State | MI
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Zip | 48034-6115
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Country | US
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Telephone | 800-395-3223
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6451024307
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License Number State | MI
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