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General NPI Number Information
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NPI Number | 1881874816
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Entity Type | Organization
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Legal Business Name | ROSS HALPERN & ASSOCIATES LLC
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 06/29/2016
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Provider Practice Location Address
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Address Line | 135 S PROSPECT ST
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City | YPSILANTI
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State | MI
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Zip | 48198-7914
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Country | US
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Telephone | 734-961-3030
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Fax | 734-961-3031
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Provider Business Mailing Address
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Address Line | 135 S PROSPECT ST
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City | YPSILANTI
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State | MI
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Zip | 48198-7914
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Country | US
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Telephone | 734-961-3030
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Fax | 734-961-3031
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Authorized Official
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Title or Position | DOCTOR
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Name | ROSS HALPERN
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Credential | PHD
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Telephone | 734-961-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301008342
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License Number State | MI
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