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General NPI Number Information
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NPI Number | 1003231671
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Entity Type | Organization
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Legal Business Name | GLOBAL PHYSICAL THERAPY AND SPINE SPECIALISTS
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Dates
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Enumeration Date | 02/19/2014
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Last Update Date | 02/20/2014
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Provider Practice Location Address
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Address Line | 12235 S SAGINAW ST
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City | GRAND BLANC
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State | MI
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Zip | 48439-1471
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Country | US
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Telephone | 810-919-9459
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Fax | 810-636-7174
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Provider Business Mailing Address
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Address Line | 12235 S SAGINAW ST
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City | GRAND BLANC
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State | MI
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Zip | 48439-1471
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Country | US
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Telephone | 810-919-9459
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Fax | 810-636-7174
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Authorized Official
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Title or Position | PRESIDENT
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Name | RALPH MCFARLAND
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Credential | PT
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Telephone | 810-919-6459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501005683
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License Number State | MI
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