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General NPI Number Information
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NPI Number | 1730192899
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Entity Type | Organization
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Legal Business Name | PAIN RECOVERY SOLUTIONS, P.C.
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4870 W CLARK RD SUITE 201
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City | YPSILANTI
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State | MI
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Zip | 48197-1104
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Country | US
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Telephone | 734-434-6600
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Fax | 734-434-6684
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Provider Business Mailing Address
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Address Line | 4870 W CLARK RD SUITE 201
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City | YPSILANTI
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State | MI
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Zip | 48197-1104
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Country | US
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Telephone | 734-434-6600
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Fax | 734-434-6684
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | HERBERT MALINOFF
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Credential | M.D.
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Telephone | 734-434-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | MH82016
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | CC048048
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | CC048048
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | PT082207
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | MH82016
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | CC048048
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License Number State | MI
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