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General NPI Number Information
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NPI Number | 1013598671
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Entity Type | Organization
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Legal Business Name | ROM REHABILITATION LLC
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Dates
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Enumeration Date | 04/15/2021
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 4413 REILLY CT
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City | TROY
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State | MI
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Zip | 48085-4901
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Country | US
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Telephone | 248-719-4827
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Fax |
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Provider Business Mailing Address
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Address Line | 4413 REILLY CT
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City | TROY
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State | MI
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Zip | 48085-4901
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. ABHIJEET VAIDYA
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Credential | DPT
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Telephone | 248-719-4827
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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 |
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License Number State |
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