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General NPI Number Information
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NPI Number | 1295668838
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Entity Type | Individual
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Provider Name | ERIC AJLUNI
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Gender | Male
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 2525 CROOKS RD STE 100
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City | TROY
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State | MI
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Zip | 48084-4733
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Country | US
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Telephone | 247-731-7305
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Fax |
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Provider Business Mailing Address
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Address Line | 30470 LEEMOOR ST
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City | BEVERLY HILLS
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State | MI
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Zip | 48025-4915
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Country | US
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Telephone | 248-513-2747
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6352001180
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License Number State | MI
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