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General NPI Number Information
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NPI Number | 1972912939
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Entity Type | Individual
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Provider Name | EMERY LEE SEARS JR. MAPC LPC
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Gender | Male
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 09/29/2016
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Provider Practice Location Address
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Address Line | 13305 REECK CT
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City | SOUTHGATE
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State | MI
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Zip | 48195-3197
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Country | US
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Telephone | 734-283-4616
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Fax |
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Provider Business Mailing Address
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Address Line | 23112 WATERVIEW DR
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City | NEW BOSTON
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State | MI
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Zip | 48164-7808
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Country | US
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Telephone | 313-590-4745
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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 | 6401014358
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License Number State | MI
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