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General NPI Number Information
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NPI Number | 1013380427
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Entity Type | Organization
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Legal Business Name | BRIGHTON FAMILY CENTER, PLC
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Dates
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Enumeration Date | 11/06/2015
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Last Update Date | 11/06/2015
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Provider Practice Location Address
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Address Line | 10315 GRAND RIVER RD SUITE 104
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City | BRIGHTON
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State | MI
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Zip | 48116-9594
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Country | US
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Telephone | 810-229-0844
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Fax | 734-428-0960
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Provider Business Mailing Address
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Address Line | 10856 MI STATE ROAD 52
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City | MANCHESTER
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State | MI
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Zip | 48158-9412
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Country | US
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Telephone | 810-229-0844
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Fax | 734-428-0960
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Authorized Official
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Title or Position | MANAGER
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Name | DR. WARWICK DAVID ARMSTRONG
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Credential | PH.D.
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Telephone | 810-229-0844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 4101005450
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4101006471
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401012196
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 6301002961
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License Number State | MI
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