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General NPI Number Information
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NPI Number | 1023546389
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Entity Type | Organization
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Legal Business Name | THE MEL BORNSTEIN CLINIC FOR PSYCHOANALYSIS AND PSYCHOTHERAPY
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Dates
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Enumeration Date | 05/31/2017
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 32841 MIDDLEBELT RD STE 403
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-1771
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Country | US
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Telephone | 248-910-0315
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Fax |
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Provider Business Mailing Address
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Address Line | 32841 MIDDLEBELT RD STE 403
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-1714
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Country | US
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Telephone | 248-851-7739
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Fax |
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | LINDSEY SCARANTINO
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Credential |
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Telephone | 248-562-6712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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