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General NPI Number Information
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NPI Number | 1154982346
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Entity Type | Individual
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Provider Name | ALEXIS LYKINS APRN
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Gender | Female
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Dates
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Enumeration Date | 06/27/2019
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 24110 MEADOWBROOK RD STE 105
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City | NOVI
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State | MI
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Zip | 48375-3406
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Country | US
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Telephone | 734-386-6527
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Fax |
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Provider Business Mailing Address
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Address Line | 24110 MEADOWBROOK RD STE 105
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City | NOVI
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State | MI
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Zip | 48375-3406
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Country | US
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Telephone | 734-386-6527
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 080450-21
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 080450-23
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4704368516
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License Number State | MI
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