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General NPI Number Information
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NPI Number | 1174833198
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE NEUROPSYCHOLOGY, PLLC
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Dates
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Enumeration Date | 10/08/2010
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 20700 CIVIC CENTER DR STE 327
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City | SOUTHFIELD
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State | MI
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Zip | 48076-4150
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Country | US
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Telephone | 734-735-6788
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Fax | 734-325-2326
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Provider Business Mailing Address
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Address Line | 20700 CIVIC CENTER DR STE 327
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City | SOUTHFIELD
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State | MI
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Zip | 48076-4150
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Country | US
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Telephone | 734-735-6788
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Fax | 734-325-2326
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTIAN SCHUTTE
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Credential | PH.D.
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Telephone | 734-735-6788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 6301013374
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License Number State | MI
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