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General NPI Number Information
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NPI Number | 1245368323
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Entity Type | Individual
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Provider Name | MICHAEL ALAN DOSEY PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 127 N EVANS ST
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City | TECUMSEH
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State | MI
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Zip | 49286-1554
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Country | US
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Telephone | 517-424-7345
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Fax |
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Provider Business Mailing Address
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Address Line | 1345 MESA DR
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City | YPSILANTI
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State | MI
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Zip | 48197-8948
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Country | US
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Telephone | 734-434-5471
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 003128
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License Number State | MI
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