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General NPI Number Information
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NPI Number | 1881201788
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Entity Type | Individual
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Provider Name | DANA HOPE DEMCHAK LLP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 8968 SOMERSET LN
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City | YPSILANTI
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State | MI
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Zip | 48198-9567
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Country | US
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Telephone | 330-285-8610
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Fax |
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Provider Business Mailing Address
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Address Line | 8968 SOMERSET LN
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City | YPSILANTI
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State | MI
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Zip | 48198-9567
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Country | US
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Telephone | 330-285-8610
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6362008870
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6361007660
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License Number State | MI
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