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General NPI Number Information
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NPI Number | 1770498693
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Entity Type | Individual
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Provider Name | BEVERLY WEBERMAN
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Gender | Female
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 24821 HALL RD
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City | WOODHAVEN
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State | MI
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Zip | 48183-3756
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Country | US
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Telephone | 734-783-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 574 WOODLAND ST
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City | DETROIT
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State | MI
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Zip | 48202-1127
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Country | US
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Telephone | 248-622-9040
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | PP0000001252497
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License Number State | MI
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