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General NPI Number Information
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NPI Number | 1003946625
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Entity Type | Organization
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Legal Business Name | WILLIAM STERLING MARGARET LLC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 11/21/2012
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Provider Practice Location Address
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Address Line | 39500 W. TEN MILE RD SUITE 108
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City | NOVI
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State | MI
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Zip | 48375
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Country | US
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Telephone | 248-242-5923
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Fax | 810-844-2171
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Provider Business Mailing Address
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Address Line | 39500 W. TEN MILE RD SUITE 108
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City | NOVI
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State | MI
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Zip | 48375
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Country | US
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Telephone | 248-242-5923
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Fax | 810-844-2171
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Authorized Official
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Title or Position | CO OWNER
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Name | MR. ROGER WILLIAM GOBLE
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Credential | PT
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Telephone | 248-888-6800
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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 | 5501006760
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License Number State | MI
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