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General NPI Number Information
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NPI Number | 1013495647
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Entity Type | Organization
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Legal Business Name | DAHLIA BERKOVITZ PHD PLLC
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Dates
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Enumeration Date | 08/06/2018
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 29623 NORTHWESTERN HWY LOWR LEVEL
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1076
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Country | US
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Telephone | 248-760-8550
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Fax |
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Provider Business Mailing Address
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Address Line | 29623 NORTHWESTERN HWY LOWR LEVEL
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1076
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Country | US
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Telephone | 248-760-8550
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAHLIA B PERKOVITZ
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Credential | LMSW
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Telephone | 248-760-8550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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