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General NPI Number Information
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NPI Number | 1710898937
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Entity Type | Individual
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Provider Name | ARIANA LOPEZ
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Gender | Female
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 47737 VAN DYKE AVE
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48317-3372
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Country | US
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Telephone | 586-623-8030
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Fax |
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Provider Business Mailing Address
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Address Line | 63 MAPLEFIELD RD
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City | PLEASANT RIDGE
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State | MI
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Zip | 48069-1020
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6851122238
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License Number State | MI
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