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General NPI Number Information
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NPI Number | 1861753840
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Entity Type | Organization
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Legal Business Name | ASIAN MENTAL HEALTH
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 650 E BIG BEAVER RD SUITE A
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City | TROY
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State | MI
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Zip | 48083-1432
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Country | US
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Telephone | 248-910-2626
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Fax | 248-649-6780
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Provider Business Mailing Address
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Address Line | 3528 EASTBOURNE DR
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City | TROY
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State | MI
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Zip | 48084-1108
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Country | US
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Telephone | 248-910-2626
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Fax | 248-649-6780
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Authorized Official
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Title or Position | MANAGER
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Name | MR. DAVID SHIHYAO HUANG
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Credential | MA LLP
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Telephone | 248-910-2626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6301012317
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License Number State | MI
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