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NPI 1497318869

NPI 1497318869 : SALMA BRINJIKJI DO : TROY, MI

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General NPI Number Information
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    NPI Number           |    1497318869
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    Entity Type          |    Individual 
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    Provider Name        |    SALMA BRINJIKJI DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/20/2019
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    Last Update Date     |    10/03/2024
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Provider Practice Location Address
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    Address Line         |    2075 W BIG BEAVER RD STE 520 
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    City                 |    TROY
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    State                |    MI
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    Zip                  |    48084-3442
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    Country              |    US
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    Telephone            |    248-646-6659
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5578 SHAUN RD 
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    City                 |    WEST BLOOMFIELD
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    State                |    MI
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    Zip                  |    48322-1620
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    Country              |    US
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    Telephone            |    248-660-7019
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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        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    5101027649
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    License Number State |    MI
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