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General NPI Number Information
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NPI Number | 1235490244
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Entity Type | Individual
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Provider Name | MISS UMANG BADHWAR
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Gender | Female
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 29592 NORTHWESTERN HWY
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1019
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Country | US
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Telephone | 248-686-3352
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Fax |
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Provider Business Mailing Address
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Address Line | 1772 BRANDYWINE DR
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City | BLOOMFIELD
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State | MI
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Zip | 48304-1110
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Country | US
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Telephone | 917-306-6133
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 6361007750
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License Number State | MI
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