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General NPI Number Information
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NPI Number | 1689141624
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Entity Type | Individual
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Provider Name | NOOR IMAD ASSI
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Gender | Female
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Dates
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Enumeration Date | 10/29/2018
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 27777 INKSTER RD
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-5310
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Country | US
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Telephone | 855-772-8847
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Fax |
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Provider Business Mailing Address
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Address Line | 22152 OLMSTEAD ST
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City | DEARBORN
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State | MI
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Zip | 48124-2754
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Country | US
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Telephone | 313-463-0012
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 7401002959
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License Number State | MI
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