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General NPI Number Information
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NPI Number | 1356042212
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Entity Type | Individual
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Provider Name | PAULINA DADURA
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Gender | Female
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Dates
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Enumeration Date | 03/16/2023
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 11111 HALL RD STE 201
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City | UTICA
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State | MI
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Zip | 48317-5799
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Country | US
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Telephone | 586-649-7589
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Fax |
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Provider Business Mailing Address
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Address Line | 3956 CHERRY CREEK LN
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-1036
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Country | US
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Telephone | 586-265-4973
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6851119734
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License Number State | MI
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