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General NPI Number Information
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NPI Number | 1013341106
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Entity Type | Individual
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Provider Name | AKHTER BANO RPT/DPT
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Gender | Female
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Dates
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Enumeration Date | 08/26/2013
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Last Update Date | 08/26/2013
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Provider Practice Location Address
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Address Line | 25321 5 MILE RD SUITE 1
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City | REDFORD
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State | MI
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Zip | 48239-3700
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Country | US
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Telephone | 313-387-5119
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Fax |
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Provider Business Mailing Address
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Address Line | 25321 5 MILE RD SUITE # 1
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City | REDFORD
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State | MI
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Zip | 48239-3700
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Country | US
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Telephone | 313-387-5119
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 5501008541
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License Number State | MI
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