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General NPI Number Information
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NPI Number | 1457192296
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Entity Type | Individual
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Provider Name | AURIEL ROBINSON
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Gender | Female
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 23800 W 10 MILE RD STE 150
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City | SOUTHFIELD
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State | MI
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Zip | 48033-3123
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Country | US
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Telephone | 248-327-6593
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Fax |
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Provider Business Mailing Address
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Address Line | 19154 STANSBURY ST
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City | DETROIT
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State | MI
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Zip | 48235-1730
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Country | US
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Telephone | 517-449-5164
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6451023490
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License Number State | MI
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