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General NPI Number Information
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NPI Number | 1902293566
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Entity Type | Individual
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Provider Name | ELIZABETH ANN FEMMININEO M.A., N.C.C.
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Gender | Female
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 2387 E WALTON BLVD
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City | AUBURN HILLS
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State | MI
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Zip | 48326-1955
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Country | US
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Telephone | 248-475-6400
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Fax | 248-475-6403
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Provider Business Mailing Address
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Address Line | 27465 GROVELAND ST
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-3354
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Country | US
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Telephone | 248-930-7965
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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 | 6401014753
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License Number State | MI
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