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General NPI Number Information
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NPI Number | 1932981354
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Entity Type | Individual
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Provider Name | ALISSA MARIE MOUSOULEAS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/19/2023
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 3200 CROSS CREEK PKWY
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City | AUBURN HILLS
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State | MI
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Zip | 48326-2764
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Country | US
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Telephone | 248-520-5407
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Fax |
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Provider Business Mailing Address
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Address Line | 335 N HARVEY ST
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City | PLYMOUTH
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State | MI
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Zip | 48170-1265
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704349018
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License Number State | MI
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