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General NPI Number Information
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NPI Number | 1730193624
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Entity Type | Individual
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Provider Name | NORRIS D. MCCRARY MA,LLP,CAC-1
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8623 N WAYNE RD SUITE 310
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City | WESTLAND
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State | MI
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Zip | 48185-1137
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Country | US
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Telephone | 734-425-0636
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Fax | 734-425-4771
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Provider Business Mailing Address
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Address Line | 29735 WEXFORD BLVD
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City | NOVI
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State | MI
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Zip | 48377-4400
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Country | US
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Telephone | 248-310-3203
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301006801
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License Number State | MI
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