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General NPI Number Information
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NPI Number | 1477062552
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Entity Type | Individual
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Provider Name | CORINNE C DIPRIMA
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Gender | Female
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 24255 W 13 MILE RD
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City | BINGHAM FARMS
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State | MI
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Zip | 48025-4320
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Country | US
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Telephone | 248-723-9613
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Fax |
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Provider Business Mailing Address
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Address Line | 2116 PALMER DR
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City | WIXOM
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State | MI
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Zip | 48393-1274
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Country | US
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Telephone | 734-765-2459
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201008831
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | MI
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