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General NPI Number Information
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NPI Number | 1487828422
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Entity Type | Individual
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Provider Name | LAWRENCE MICHAEL OSHIER M.A.
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Gender | Male
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 72 S WASHINGTON ST SUITE 206
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City | OXFORD
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State | MI
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Zip | 48371-4973
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Country | US
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Telephone | 248-693-4629
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Fax | 248-693-6718
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Provider Business Mailing Address
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Address Line | 1520 S LAPEER RD SUITE 218
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City | LAKE ORION
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State | MI
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Zip | 48360-1454
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Country | US
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Telephone | 248-693-4629
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Fax | 248-693-6718
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301002405
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License Number State | MI
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