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General NPI Number Information
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NPI Number | 1295619708
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Entity Type | Individual
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Provider Name | SAMAR ABBASI LLPC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1900 W STADIUM BLVD STE 1
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City | ANN ARBOR
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State | MI
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Zip | 48103-7008
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Country | US
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Telephone | 734-904-1078
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Fax |
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Provider Business Mailing Address
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Address Line | 6953 CRESTWOOD ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-1917
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Country | US
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Telephone | 133-694-9433
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 316280
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6451023161
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License Number State | MI
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