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General NPI Number Information
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NPI Number | 1073010211
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Entity Type | Individual
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Provider Name | ALAINA MIRON DPT
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Gender | Female
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 04/12/2018
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Provider Practice Location Address
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Address Line | MEDILODGE OF RICHMOND 34901 DIVISION
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City | RICHMOND
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State | MI
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Zip | 48062
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Country | US
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Telephone | 586-727-7562
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Fax |
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Provider Business Mailing Address
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Address Line | 36271 31 MILE RD
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City | LENOX
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State | MI
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Zip | 48050-1419
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Country | US
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Telephone | 586-727-7562
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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 | 5501016671
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License Number State | MI
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