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General NPI Number Information
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NPI Number | 1962732941
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Entity Type | Organization
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Legal Business Name | RITA U ANTANI PSYD PLC
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Dates
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Enumeration Date | 01/13/2010
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Last Update Date | 10/29/2015
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Provider Practice Location Address
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Address Line | 2710 S ROCHESTER RD SUITE 2
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-4598
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Country | US
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Telephone | 248-931-3176
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Fax | 888-909-6848
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Provider Business Mailing Address
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Address Line | PO BOX 70092
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-0002
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Country | US
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Telephone | 248-931-3176
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Fax | 888-909-6848
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Authorized Official
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Title or Position | OWNER
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Name | DR. RITA U ANTANI
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Credential | PSYD
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Telephone | 248-931-3176
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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 | 6301008402
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License Number State | MI
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