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General NPI Number Information
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NPI Number | 1952228223
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Entity Type | Organization
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Legal Business Name | PALE BLUE DOT, LLC
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 541 PEARSON ST APT 1
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City | FERNDALE
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State | MI
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Zip | 48220-2892
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Country | US
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Telephone | 248-697-2597
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Fax |
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Provider Business Mailing Address
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Address Line | 34705 W 12 MILE RD STE 160
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City | FARMINGTON HILLS
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State | MI
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Zip | 48331-3282
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | SARA PIERCE
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Credential | LLP
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Telephone | 248-622-1016
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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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