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General NPI Number Information
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NPI Number | 1649473042
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Entity Type | Organization
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Legal Business Name | PAUL PASKIEWICZ, PH.D., P.C.
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 560 WOODLAND ST
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City | BIRMINGHAM
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State | MI
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Zip | 48009-1316
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Country | US
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Telephone | 248-808-5604
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Fax |
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Provider Business Mailing Address
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Address Line | 560 WOODLAND ST
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City | BIRMINGHAM
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State | MI
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Zip | 48009-1316
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Country | US
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Telephone | 248-808-5604
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL PASKIEWICZ
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Credential | PH.D.
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Telephone | 248-808-5604
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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 | 6301002424
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License Number State | MI
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