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General NPI Number Information
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NPI Number | 1225368889
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Entity Type | Organization
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Legal Business Name | ABH CORPORATION
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Dates
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Enumeration Date | 01/05/2010
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Last Update Date | 11/06/2019
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Provider Practice Location Address
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Address Line | 51221 SCHOENHERR SUITE 107
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48315
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Country | US
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Telephone | 586-360-7745
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Fax | 586-799-4006
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Provider Business Mailing Address
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Address Line | 3950 S ROCHESTER RD STE 2250
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-5169
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Country | US
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Telephone | 248-426-9900
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Fax | 248-426-9950
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. SARA CHASE
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Credential | PH.D.
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Telephone | 248-650-8383
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | MI
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