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General NPI Number Information
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NPI Number | 1942896253
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Entity Type | Individual
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Provider Name | MONIKA CLAY AGPCNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 633 SOUTH BLVD E STE 1200
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-5364
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Country | US
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Telephone | 248-705-6223
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Fax |
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Provider Business Mailing Address
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Address Line | 36355 HAMMER LN
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City | LIVONIA
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State | MI
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Zip | 48152-2758
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Country | US
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Telephone | 734-620-8083
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4704276249
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 4704276249
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704276249
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License Number State | MI
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