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General NPI Number Information
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NPI Number | 1205745957
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Entity Type | Individual
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Provider Name | FLYNN A SMITH LLC, MACP
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Gender | Male
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 3031 W GRAND BLVD STE 370
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City | DETROIT
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State | MI
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Zip | 48202-3008
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Country | US
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Telephone | 313-932-5527
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Fax |
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Provider Business Mailing Address
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Address Line | 4252 LESLIE ST
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City | DETROIT
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State | MI
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Zip | 48238-3245
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6451025266
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License Number State | MI
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