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General NPI Number Information
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NPI Number | 1487014866
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Entity Type | Organization
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Legal Business Name | KARALEE ASSOCIATES PC
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Dates
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Enumeration Date | 02/29/2016
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 1308 S MAIN ST
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City | PLYMOUTH
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State | MI
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Zip | 48170-2253
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Country | US
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Telephone | 734-451-3440
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Fax | 734-207-5326
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Provider Business Mailing Address
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Address Line | 1308 S MAIN ST
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City | PLYMOUTH
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State | MI
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Zip | 48170-2253
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Country | US
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Telephone | 734-451-3440
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Fax | 734-207-5326
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Authorized Official
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Title or Position | OWNER
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Name | KAREN MAIER
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Credential | PHD / OWNER
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Telephone | 734-451-3440
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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 | 6301006232
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License Number State | MI
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