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General NPI Number Information
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NPI Number | 1316136054
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Entity Type | Organization
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Legal Business Name | BACHMANN PSYCHOLOGICAL CONSULTANTS P.C.
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 10/18/2007
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Provider Practice Location Address
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Address Line | 121 S BARNARD ST STE 3
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City | HOWELL
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State | MI
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Zip | 48843-2939
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Country | US
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Telephone | 517-545-0412
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Fax |
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Provider Business Mailing Address
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Address Line | 121 S BARNARD ST STE 3
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City | HOWELL
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State | MI
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Zip | 48843-2939
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Country | US
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Telephone | 517-545-0412
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. RUDOLPH F. BACHMANN
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Credential | PH.D.
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Telephone | 517-545-0412
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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 | 6301001548
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License Number State | MI
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