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General NPI Number Information
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NPI Number | 1740620970
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Entity Type | Individual
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Provider Name | AIMEE GAYLE ADAMS ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/02/2013
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 39201 7 MILE RD STE 140
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City | LIVONIA
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State | MI
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Zip | 48152-1079
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Country | US
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Telephone | 248-681-9541
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Fax | 248-681-9581
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Provider Business Mailing Address
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Address Line | 18309 BLUE HERON POINTE DR
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City | NORTHVILLE
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State | MI
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Zip | 48168-9261
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Country | US
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Telephone | 248-224-4000
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704266165
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704266165
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License Number State | MI
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