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General NPI Number Information
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NPI Number | 1003137795
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Entity Type | Organization
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Legal Business Name | CENTER FOR HEALING AND HAPPINESS PC
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Dates
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Enumeration Date | 06/16/2010
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Last Update Date | 10/11/2011
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Provider Practice Location Address
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Address Line | 8512 N CANTON CENTER RD
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City | CANTON
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State | MI
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Zip | 48187-1310
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Country | US
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Telephone | 734-459-1760
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Fax | 734-459-1797
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Provider Business Mailing Address
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Address Line | 8512 N CANTON CENTER RD
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City | CANTON
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State | MI
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Zip | 48187-1310
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Country | US
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Telephone | 734-459-1760
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Fax | 734-459-1797
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEANETTE H NIEMISTO
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Credential | MD
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Telephone | 734-459-1760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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