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General NPI Number Information
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NPI Number | 1336343607
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Entity Type | Individual
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Provider Name | DR. ROBERT FRANCIS SLATTERY
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Gender | Male
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 120 E LIBERTY ST SUITE 330
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City | ANN ARBOR
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State | MI
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Zip | 48104-2156
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Country | US
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Telephone | 734-665-3187
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Fax | 734-662-0424
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Provider Business Mailing Address
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Address Line | 120 E. LIBERTY ST. SUITE 330
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City | ANN ARBOR
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State | MI
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Zip | 48104
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Country | US
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Telephone | 734-665-3187
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Fax | 734-662-0424
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301049960
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License Number State | MI
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