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General NPI Number Information
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NPI Number | 1265653182
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Entity Type | Organization
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Legal Business Name | DAVID KLIMEK PHD PC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 03/28/2014
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Provider Practice Location Address
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Address Line | 2200 FULLER CT SUITE 1101B
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City | ANN ARBOR
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State | MI
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Zip | 48105-2311
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Country | US
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Telephone | 734-995-0999
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 FULLER CT SUITE 1101B
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City | ANN ARBOR
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State | MI
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Zip | 48105-2311
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Country | US
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Telephone | 734-995-0999
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, CHIEF PSYCHOLOGIST
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Name | DR. DAVID E. KLIMEK
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Credential | PH.D.
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Telephone | 734-995-0999
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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 | 6301002261
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License Number State | MI
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