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General NPI Number Information
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NPI Number | 1093215634
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Entity Type | Organization
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Legal Business Name | HEALING TOUCH PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 02/20/2018
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Provider Practice Location Address
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Address Line | 20905 GREENFIELD RD STE 300
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City | SOUTHFIELD
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State | MI
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Zip | 48075-5347
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Country | US
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Telephone | 248-217-1424
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Fax |
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Provider Business Mailing Address
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Address Line | 13110 DARTMOUTH ST
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City | OAK PARK
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State | MI
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Zip | 48237-1632
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Country | US
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Telephone | 248-217-1424
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | TANYA WEBSTER
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Credential |
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Telephone | 248-217-1424
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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 |
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License Number State | MI
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Taxonomy #2
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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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