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General NPI Number Information
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NPI Number | 1669478921
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Entity Type | Organization
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Legal Business Name | PERSONAL & FAMILY ADJUSTMENT CENTER PC
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 700 N OLD WOODWARD AVE STE 300
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City | BIRMINGHAM
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State | MI
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Zip | 48009-1338
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Country | US
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Telephone | 248-642-8263
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Fax | 248-642-3862
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Provider Business Mailing Address
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Address Line | 700 N OLD WOODWARD AVE STE 300
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City | BIRMINGHAM
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State | MI
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Zip | 48009-1338
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Country | US
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Telephone | 248-642-8263
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Fax | 248-642-3862
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALDONA M VALVIVONIS
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Credential | PH. D.
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Telephone | 248-642-8263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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