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General NPI Number Information
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NPI Number | 1093415523
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Entity Type | Individual
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Provider Name | CHRISTOPHER URBANIK PHD, LP
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Gender | Male
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 1104 GENESEE DR
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City | ROYAL OAK
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State | MI
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Zip | 48073-2029
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Country | US
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Telephone | 248-291-7375
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Fax |
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Provider Business Mailing Address
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Address Line | 318 JOHN R RD # 160
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City | TROY
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State | MI
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Zip | 48083-4542
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Country | US
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Telephone | 248-291-7375
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301019329
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License Number State | MI
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