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General NPI Number Information
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NPI Number | 1013962877
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Entity Type | Individual
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Provider Name | MALGORZATA AGNIESZKA LATALA PT
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 04/04/2008
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Provider Practice Location Address
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Address Line | 1038 N MONROE ST
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City | MONROE
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State | MI
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Zip | 48162-3113
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Country | US
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Telephone | 734-242-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 9200 GROH RD
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City | GROSSE ILE
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State | MI
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Zip | 48138-1903
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Country | US
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Telephone | 734-676-6959
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501004876
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License Number State | MI
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