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General NPI Number Information
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NPI Number | 1669936316
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Entity Type | Individual
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Provider Name | KOWSAR A. HIJAZI PSYD, DLLP
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Gender | Female
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Dates
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Enumeration Date | 01/28/2019
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 31478 INDUSTRIAL RD STE 300
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City | LIVONIA
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State | MI
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Zip | 48150-1840
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Country | US
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Telephone | 734-245-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 8184 WHITEFIELD ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-1121
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Country | US
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Telephone | 313-571-5198
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6351004852
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License Number State | MI
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