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General NPI Number Information
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NPI Number | 1841174646
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Entity Type | Individual
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Provider Name | XAVIER LAURIER MD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 261 MACK AVE
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City | DETROIT
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State | MI
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Zip | 48201-2495
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Country | US
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Telephone | 313-745-1203
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Fax |
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Provider Business Mailing Address
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Address Line | 295 KIRTS BLVD APT 105
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City | TROY
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State | MI
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Zip | 48084-5216
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Country | US
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Telephone | 438-396-7461
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 4351055030
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License Number State | MI
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