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General NPI Number Information
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NPI Number | 1023288669
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Entity Type | Organization
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Legal Business Name | CONTINUUM PSYCHIATRIC SERVICES, LLP
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 28275 FIVE MILE RD
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City | LIVONIA
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State | MI
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Zip | 48154-3998
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Country | US
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Telephone | 734-402-0254
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Fax | 734-402-0255
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Provider Business Mailing Address
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Address Line | 28275 FIVE MILE RD
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City | LIVONIA
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State | MI
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Zip | 48154-3998
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Country | US
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Telephone | 734-402-0254
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Fax | 734-402-0255
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS SELZNICK
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Credential | DO
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Telephone | 734-402-0254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number |
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License Number State |
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