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General NPI Number Information
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NPI Number | 1427843408
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Entity Type | Organization
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Legal Business Name | CEIS PLLC
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 42505 WOODWARD AVE STE 100
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-5147
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Country | US
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Telephone | 248-771-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 42505 WOODWARD AVE STE 100
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-5147
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Country | US
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Telephone | 248-771-2800
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAIME LYN-ESSIAN TAYLOR
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Credential | DO
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Telephone | 248-771-2800
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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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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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