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General NPI Number Information
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NPI Number | 1760066310
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Entity Type | Organization
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Legal Business Name | MICHIGAN CENTER FOR ADULT PSYCHOTHERAPY
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Dates
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Enumeration Date | 05/10/2021
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 3249 BROAD ST STE 1
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City | DEXTER
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State | MI
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Zip | 48130-1018
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Country | US
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Telephone | 734-445-8952
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Fax |
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Provider Business Mailing Address
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Address Line | 3249 BROAD ST STE 1
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City | DEXTER
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State | MI
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Zip | 48130-1018
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Country | US
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Telephone | 734-445-8952
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Fax |
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Authorized Official
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Title or Position | OWNER, DIRECTOR
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Name | DR. ERIN HUNT-CARTER
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Credential | PHD
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Telephone | 734-445-8952
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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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