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General NPI Number Information
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NPI Number | 1225539794
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Entity Type | Organization
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Legal Business Name | ANNE DOHRENWEND, PHD, ABPP, PLLC
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Dates
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Enumeration Date | 02/21/2018
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Last Update Date | 02/21/2018
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Provider Practice Location Address
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Address Line | 202 E WASHINGTON ST STE 606
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City | ANN ARBOR
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State | MI
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Zip | 48104-2012
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Country | US
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Telephone | 734-657-9034
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Fax |
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Provider Business Mailing Address
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Address Line | 904 SPRING ST
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City | ANN ARBOR
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State | MI
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Zip | 48103-3243
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Country | US
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Telephone | 734-657-9034
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Fax |
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Authorized Official
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Title or Position | SOLO PRACTICE OWNER
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Name | DR. ANNE M DOHRENWEND
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Credential | PHD, ABPP
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Telephone | 734-657-9034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301010100
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License Number State | MI
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