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General NPI Number Information
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NPI Number | 1750593489
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Entity Type | Individual
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Provider Name | SUSAN LINDA WAINWRIGHT-ROLLINS M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 4050 W MAPLE RD
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48301-3148
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Country | US
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Telephone | 248-258-2478
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Fax |
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Provider Business Mailing Address
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Address Line | 4298 COMPTON WAY
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-2006
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Country | US
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Telephone | 248-808-3796
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Fax | 248-286-6000
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 200700424
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 4301047891
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301047891
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 47891
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License Number State | MI
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