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General NPI Number Information
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NPI Number | 1427833383
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF DETROIT MERCY
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 41555 W 12 MILE RD
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City | NOVI
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State | MI
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Zip | 48377-3103
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Country | US
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Telephone | 313-494-6954
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Fax | 313-494-6627
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Provider Business Mailing Address
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Address Line | 4001 W MCNICHOLS RD STUDENT UNION 263
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City | DETROIT
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State | MI
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Zip | 48221-3038
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Country | US
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Telephone | 313-993-1951
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Fax | 313-993-1011
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Authorized Official
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Title or Position | SENIOR ATTORNEY & CORP SECRETARY
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Name | MONICA M BARBOUR
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Credential | JD
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Telephone | 313-993-1951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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