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General NPI Number Information
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NPI Number | 1043129091
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Entity Type | Organization
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Legal Business Name | PURE PSYCHIATRY OF MICHIGAN PLLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 1475 FORD AVE
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City | WYANDOTTE
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State | MI
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Zip | 48192-3825
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Country | US
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Telephone | 734-258-8386
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Fax |
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Provider Business Mailing Address
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Address Line | 34841 VETERANS PLZ
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City | WAYNE
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State | MI
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Zip | 48184-1733
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Country | US
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Telephone | 734-728-3446
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARANG K PATEL
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Credential |
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Telephone | 734-560-0543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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