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General NPI Number Information
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NPI Number | 1669047668
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Entity Type | Individual
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Provider Name | DEIRDRE ALSAIDY LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/21/2021
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 2723 S STATE ST STE 150
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City | ANN ARBOR
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State | MI
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Zip | 48104-6188
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Country | US
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Telephone | 734-926-9950
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Fax |
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Provider Business Mailing Address
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Address Line | 2075 W STADIUM BLVD # 3643
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City | ANN ARBOR
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State | MI
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Zip | 48103-7011
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Country | US
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Telephone | 734-926-9950
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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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 | LICSW125726
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License Number State | MA
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