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General NPI Number Information
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NPI Number | 1811771421
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Entity Type | Individual
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Provider Name | MS. ALYSSA M LAWSON
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Gender | Female
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Dates
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Enumeration Date | 08/23/2023
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 17940 FARMINGTON RD STE 302
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City | LIVONIA
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State | MI
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Zip | 48152-3159
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Country | US
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Telephone | 248-479-3286
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Fax |
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Provider Business Mailing Address
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Address Line | 33336 LYNX ST
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City | WESTLAND
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State | MI
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Zip | 48185-9443
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Country | US
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Telephone | 586-944-9268
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6451022983
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License Number State | MI
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