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General NPI Number Information
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NPI Number | 1336628346
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Entity Type | Organization
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Legal Business Name | DR MICHELLE L IYAMAH PSYCHODIAGNOSTICS LLC
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | 933 N MAYFAIR RD STE 101
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City | WAUWATOSA
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State | WI
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Zip | 53226-3432
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Country | US
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Telephone | 414-551-4773
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Fax |
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Provider Business Mailing Address
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Address Line | 933 N MAYFAIR RD STE 101
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City | WAUWATOSA
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State | WI
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Zip | 53226-3432
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Country | US
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Telephone | 414-551-4773
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Fax |
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | MRS. PASCAL SHARMILEE
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Credential |
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Telephone | 262-432-0919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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