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General NPI Number Information
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NPI Number | 1194353789
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Entity Type | Organization
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Legal Business Name | D TALK, PLC
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Dates
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Enumeration Date | 03/30/2020
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Last Update Date | 03/30/2020
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Provider Practice Location Address
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Address Line | 34935 SCHOOLCRAFT RD STE 106
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City | LIVONIA
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State | MI
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Zip | 48150-1317
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Country | US
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Telephone | 734-725-1521
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Fax |
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Provider Business Mailing Address
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Address Line | 34935 SCHOOLCRAFT RD STE 106
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City | LIVONIA
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State | MI
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Zip | 48150-1317
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Country | US
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Telephone | 734-725-1521
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ALAN JAMES CAROTTA JR.
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Credential | MA, LLP
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Telephone | 734-725-1521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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