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General NPI Number Information
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NPI Number | 1134252075
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Entity Type | Organization
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Legal Business Name | RONALD E SILVERMAN PHD PLLC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1213 BEARD STREET
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City | FLINT
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State | MI
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Zip | 48503-5372
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Country | US
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Telephone | 810-239-5220
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Fax | 810-239-7267
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Provider Business Mailing Address
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Address Line | 1213 BEARD STREET
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City | FLINT
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State | MI
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Zip | 48503-5372
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Country | US
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Telephone | 810-239-5220
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Fax | 810-239-7267
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Authorized Official
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Title or Position | PRESIDENT
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Name | RONALD EMILE SILVERMAN
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Credential | PHD
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Telephone | 810-239-5220
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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 | 6301001364
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License Number State | MI
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