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General NPI Number Information
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NPI Number | 1184402745
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Entity Type | Organization
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Legal Business Name | FIRSTHAND HEALTH OF MICHIGAN, P.C.
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Dates
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Enumeration Date | 09/15/2023
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 7445 ALLEN RD STE 270
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City | ALLEN PARK
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State | MI
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Zip | 48101-1963
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Country | US
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Telephone | 844-348-4263
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Fax |
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Provider Business Mailing Address
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Address Line | 1032 E BRANDON BLVD STE 4567
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City | BRANDON
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State | FL
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Zip | 33511-5509
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Country | US
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Telephone | 201-474-5844
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Fax | 855-737-3901
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Authorized Official
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Title or Position | OWNER
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Name | LAURA PURDY
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Credential | MD
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Telephone | 201-474-5844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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