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General NPI Number Information
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NPI Number | 1447653878
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Entity Type | Organization
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Legal Business Name | HARPER PSYCHOLOGICAL PLC
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 4660 S HAGADORN RD SUITE 280A
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City | EAST LANSING
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State | MI
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Zip | 48823-5376
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Country | US
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Telephone | 517-927-6595
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | MASON
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State | MI
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Zip | 48854-0010
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Country | US
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Telephone | 517-927-6595
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARA CZUBAK
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Credential | LLP
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Telephone | 517-927-6595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 6301014888
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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