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General NPI Number Information
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NPI Number | 1073152252
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Entity Type | Organization
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Legal Business Name | RECOVERY PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 01/05/2020
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Last Update Date | 01/05/2020
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Provider Practice Location Address
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Address Line | 29240 BUCKINGHAM ST STE 10
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City | LIVONIA
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State | MI
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Zip | 48154-4575
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Country | US
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Telephone | 734-855-4572
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Fax | 734-855-4573
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Provider Business Mailing Address
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Address Line | 29240 BUCKINGHAM ST STE 10
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City | LIVONIA
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State | MI
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Zip | 48154-4575
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Country | US
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Telephone | 734-855-4572
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Fax | 734-855-4573
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Authorized Official
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Title or Position | MANAGER
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Name | HEDAYAT UR RAHMAN
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Credential | PT
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Telephone | 248-346-5589
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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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