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General NPI Number Information
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NPI Number | 1669371092
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Entity Type | Individual
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Provider Name | EMILY GREENE
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Gender | Female
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 5290 MAYBEE RD
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City | CLARKSTON
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State | MI
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Zip | 48346-3264
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Country | US
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Telephone | 248-623-4141
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Fax | 248-623-4105
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Provider Business Mailing Address
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Address Line | 5520 CRABTREE RD
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48301-1200
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Country | US
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Telephone | 517-525-3232
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | MI
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