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General NPI Number Information
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NPI Number | 1568677318
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Entity Type | Individual
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Provider Name | RICHARD C. TOTIN, PH.D., LMFT PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 37450 ALMONT DR E
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-4016
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Country | US
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Telephone | 586-206-2234
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Fax | 586-977-0305
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Provider Business Mailing Address
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Address Line | 37450 ALMONT DR E
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-4016
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Country | US
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Telephone | 586-206-2234
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4101006023
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License Number State | MI
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