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General NPI Number Information
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NPI Number | 1245869841
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Entity Type | Organization
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Legal Business Name | PRIYA K. RAO, LLC
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 7946 BRANCH DR
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City | BRIGHTON
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State | MI
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Zip | 48116-8815
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Country | US
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Telephone | 248-231-3306
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Fax | 413-751-7582
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Provider Business Mailing Address
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Address Line | 7946 BRANCH DR
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City | BRIGHTON
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State | MI
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Zip | 48116-8815
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Country | US
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Telephone | 248-231-3306
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Fax | 413-751-7582
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | PRIYA RAO
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Credential | PHD, LP
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Telephone | 248-231-3306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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