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General NPI Number Information
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NPI Number | 1295266518
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Entity Type | Individual
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Provider Name | CONNIE HSAIO MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 3901 CHRYSLER DR STE 1A
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City | DETROIT
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State | MI
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Zip | 48201-2167
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Country | US
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Telephone | 313-993-3964
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Fax |
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Provider Business Mailing Address
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Address Line | 400 MACK AVE
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City | DETROIT
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State | MI
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Zip | 48201-2136
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 71100
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301514200
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 71100
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301514200
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 71100
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License Number State | CT
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Taxonomy #6
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 4301514200
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License Number State | MI
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