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General NPI Number Information
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NPI Number | 1336006436
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Entity Type | Individual
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Provider Name | TARYN LEE WALKER
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Gender | Female
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 220 S MAIN ST
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City | ROYAL OAK
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State | MI
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Zip | 48067-2676
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Country | US
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Telephone | 833-217-7636
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Fax |
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Provider Business Mailing Address
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Address Line | 25802 DEI ST
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-4116
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Country | US
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Telephone | 248-514-3673
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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 |
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License Number State | MI
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