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General NPI Number Information
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NPI Number | 1144034018
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Entity Type | Organization
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Legal Business Name | HQ OF PLYMOUTH LLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 44515 ANN ARBOR RD W
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City | PLYMOUTH
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State | MI
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Zip | 48170-3907
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Country | US
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Telephone | 734-404-8585
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Fax | 734-253-6012
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Provider Business Mailing Address
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Address Line | 1773 STAR BATT DR
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-3708
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Country | US
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Telephone | 248-601-9207
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIE MARTEL
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Credential |
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Telephone | 248-601-9207
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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 |
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