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General NPI Number Information
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NPI Number | 1619945227
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Entity Type | Individual
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Provider Name | ERIC M. PIHLGREN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 600 N OLD WOODWARD AVE SUITE 304
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City | BIRMINGHAM
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State | MI
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Zip | 48009-1324
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Country | US
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Telephone | 248-224-8550
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Fax |
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Provider Business Mailing Address
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Address Line | 2811 WATERLOO DR
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City | TROY
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State | MI
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Zip | 48084-2682
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Country | US
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Telephone | 248-224-8550
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301012047
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License Number State | MI
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