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General NPI Number Information
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NPI Number | 1205896123
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Entity Type | Organization
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Legal Business Name | MRA PSYCHIATRICS, PC
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 733 W WARWICK DR UNIT A
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City | ALMA
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State | MI
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Zip | 48801-1115
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Country | US
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Telephone | 989-423-0672
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Fax | 989-466-6454
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Provider Business Mailing Address
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Address Line | PO BOX 35
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City | ALMA
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State | MI
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Zip | 48801-0035
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Country | US
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Telephone | 989-423-0672
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Fax | 989-466-6454
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAZVAN ADAM
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Credential | MD
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Telephone | 989-423-0672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 4301062869
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License Number State | MI
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