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General NPI Number Information
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NPI Number | 1649904749
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Entity Type | Individual
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Provider Name | TAMEKIA CROOK
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Gender | Female
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Dates
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Enumeration Date | 07/13/2022
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Last Update Date | 10/04/2026
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Provider Practice Location Address
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Address Line | 220 WEST CONGRESS STREET 2ND FLOOR PMB #304
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City | DETROIT
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State | MI
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Zip | 48226
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Country | US
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Telephone | 313-334-9042
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Fax |
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Provider Business Mailing Address
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Address Line | 48203 PRIMROSE DR
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City | MACOMB
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State | MI
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Zip | 48044-2354
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Country | US
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Telephone | 313-334-9042
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Fax | 202-890-1853
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4704294024
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 4704294024
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License Number State | MI
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