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General NPI Number Information
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NPI Number | 1467003087
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Entity Type | Individual
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Provider Name | KENISHA LATOYA PARHAM LLP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 26105 ORCHARD LAKE RD STE 207
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-4578
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Country | US
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Telephone | 248-662-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 29488 WOODWARD AVE # 220
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City | ROYAL OAK
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State | MI
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Zip | 48073-0903
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Country | US
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Telephone | 248-249-1798
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6362009115
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6361008078
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License Number State | MI
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