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General NPI Number Information
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NPI Number | 1306102025
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Entity Type | Organization
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Legal Business Name | BEYOND EXPECTATION, LLC
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Dates
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Enumeration Date | 04/06/2012
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 4086 ROCHESTER RD SUITE 202
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City | TROY
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State | MI
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Zip | 48085-4945
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Country | US
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Telephone | 313-717-6255
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2063
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City | SOUTHFIELD
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State | MI
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Zip | 48037-2063
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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 | CLINICIAN/OWNER
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Name | LINDA T CURTIS
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Credential | MA
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Telephone | 313-717-6255
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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 | 6301012154
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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 | 6401006903
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License Number State | MI
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