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General NPI Number Information
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NPI Number | 1548447709
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Entity Type | Organization
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Legal Business Name | SPECIALISTS IN PSYCHIATRIC PHARMACOLOGY PLLC
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 1000 S OLD WOODWARD AVE SUITE 101
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City | BIRMINGHAM
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State | MI
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Zip | 48009-6723
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Country | US
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Telephone | 248-723-3222
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Fax | 248-723-3226
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Provider Business Mailing Address
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Address Line | 1000 S OLD WOODWARD AVE SUITE 101
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City | BIRMINGHAM
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State | MI
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Zip | 48009-6723
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Country | US
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Telephone | 248-723-3222
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Fax | 248-723-3226
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Authorized Official
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Title or Position | PHYSICIAN/PARTNER
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Name | DR. LESLEE A EMERSON
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Credential | D.O.
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Telephone | 248-723-3222
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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 |
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License Number State |
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