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General NPI Number Information
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NPI Number | 1174208326
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Entity Type | Organization
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Legal Business Name | FOCUSED THERAPEUTIC SERVICES LLC
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Dates
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Enumeration Date | 06/15/2023
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 2100 S MAIN ST # A6
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City | ANN ARBOR
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State | MI
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Zip | 48103-6432
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Country | US
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Telephone | 734-741-1331
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Fax |
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Provider Business Mailing Address
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Address Line | 1817 CHANDLER RD
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City | ANN ARBOR
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State | MI
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Zip | 48105-1681
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Country | US
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Telephone | 734-730-1191
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH L MITCHELL
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Credential |
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Telephone | 734-677-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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