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General NPI Number Information
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NPI Number | 1093803595
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Entity Type | Organization
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Legal Business Name | ADVANTAGE PHYSICAL THERAPY & REHABILITATION SERVICES, INC.
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 19323 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48152-1404
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Country | US
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Telephone | 248-471-1602
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Fax | 248-471-1674
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Provider Business Mailing Address
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Address Line | 19323 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48152-1404
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Country | US
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Telephone | 248-471-1602
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Fax | 248-471-1674
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DILIP K DEY
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Credential | MHS, PT
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Telephone | 248-471-1602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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