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General NPI Number Information
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NPI Number | 1609793231
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Entity Type | Organization
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Legal Business Name | OAKLAND BEHAVIORAL MEDICINE PLLC
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Dates
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Enumeration Date | 07/03/2026
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Last Update Date | 07/03/2026
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Provider Practice Location Address
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Address Line | 20282 MIDDLEBELT RD
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City | LIVONIA
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State | MI
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Zip | 48152-2002
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Country | US
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Telephone | 586-747-8373
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 252361
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48325-2361
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Country | US
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Telephone | 586-747-8373
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MASROOR HAQ
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Credential | DR
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Telephone | 248-719-1256
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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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