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General NPI Number Information
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NPI Number | 1801208467
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Entity Type | Individual
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Provider Name | QUINTESSENCE MUHAMMAD
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Gender | Female
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 1145 W GRAND BLVD
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City | DETROIT
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State | MI
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Zip | 48208-2336
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Country | US
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Telephone | 313-324-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 367 DALE CT
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City | FERNDALE
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State | MI
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Zip | 48220-2967
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Country | US
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Telephone | 443-676-6290
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4704290831
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License Number State | MI
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