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General NPI Number Information
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NPI Number | 1619274636
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Entity Type | Organization
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Legal Business Name | DANIEL J. KACHMAN, ED. D., P.C.
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Dates
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Enumeration Date | 02/28/2011
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 2791 GUELPH CT
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City | NORTH BRANCH
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State | MI
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Zip | 48461-7927
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Country | US
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Telephone | 810-664-4363
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Fax |
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Provider Business Mailing Address
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Address Line | 2791 GUELPH CT
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City | NORTH BRANCH
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State | MI
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Zip | 48461-7927
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Country | US
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Telephone | 810-664-4363
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DANIEL JOHN KACHMAN
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Credential | ED.D.
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Telephone | 810-664-4363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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