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General NPI Number Information
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NPI Number | 1174925630
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Entity Type | Organization
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Legal Business Name | NIDA HAMID PSYD PLLC
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 3155 W BIG BEAVER RD STE 109
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City | TROY
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State | MI
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Zip | 48084-3006
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Country | US
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Telephone | 248-878-0925
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Fax | 248-644-0237
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Provider Business Mailing Address
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Address Line | 3155 W BIG BEAVER RD STE 109
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City | TROY
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State | MI
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Zip | 48084-3006
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Country | US
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Telephone | 248-385-5756
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Fax | 248-385-5758
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. NIDA H HAMID
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Credential | PSY.D.
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Telephone | 248-385-5756
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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 | 6301014942
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 6301014942
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License Number State | MI
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