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General NPI Number Information
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NPI Number | 1952589822
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Entity Type | Organization
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Legal Business Name | ERZ PSYCHOTHERAPY SERVICES
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Dates
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Enumeration Date | 02/04/2008
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 22811 GREATER MACK AVE STE 107
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-2053
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Country | US
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Telephone | 586-764-7199
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Fax |
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Provider Business Mailing Address
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Address Line | 20875 E 10 MILE RD
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-1108
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Country | US
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Telephone | 586-764-7199
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHLEEN A ERZ
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Credential | M.A. L.L.P.
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Telephone | 586-764-7199
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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 |
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License Number State |
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