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General NPI Number Information
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NPI Number | 1003502717
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Entity Type | Organization
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Legal Business Name | MODERN PSYCHIATRY PC
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Dates
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Enumeration Date | 04/14/2023
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1537 MONROE ST STE 200
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City | DEARBORN
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State | MI
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Zip | 48124-2842
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Country | US
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Telephone | 734-743-3480
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Fax |
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Provider Business Mailing Address
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Address Line | 1537 MONROE ST STE 200
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City | DEARBORN
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State | MI
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Zip | 48124-2842
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Country | US
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Telephone | 734-743-3480
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Fax | 213-527-6516
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Authorized Official
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Title or Position | PSYCHIATRY
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Name | DANYA BERRI
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Credential | MD
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Telephone | 313-605-1506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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