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General NPI Number Information
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NPI Number | 1174311435
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Entity Type | Organization
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Legal Business Name | ENGAGE PSYCHIATRY & PSYCHOTHERAPY
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 240 MARTIN ST STE 100
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City | BIRMINGHAM
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State | MI
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Zip | 48009-3352
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Country | US
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Telephone | 734-743-1512
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Fax |
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Provider Business Mailing Address
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Address Line | 240 MARTIN ST STE 100
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City | BIRMINGHAM
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State | MI
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Zip | 48009-3352
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Country | US
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Telephone | 734-743-1512
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | CLAUDIA CAO
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Credential | MD
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Telephone | 734-743-1512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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