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General NPI Number Information
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NPI Number | 1316070667
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Entity Type | Individual
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Provider Name | STEVEN PAUL BAYNE MA, LPC, CAADC
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Gender | Male
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 19855 OUTER DR STE 203E
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City | DEARBORN
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State | MI
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Zip | 48124-2146
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Country | US
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Telephone | 313-590-5219
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Fax | 313-995-9140
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Provider Business Mailing Address
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Address Line | 19855 OUTER DR SUITE 203-E
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City | DEARBORN
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State | MI
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Zip | 48124-2022
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Country | US
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Telephone | 313-590-5219
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Fax | 313-995-9140
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | C-01444
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401007707
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License Number State | MI
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