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General NPI Number Information
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NPI Number | 1144417411
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Entity Type | Organization
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Legal Business Name | SPECIALISTS IN PHYSICAL MEDICINE AND REHABILITATION PLC
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 09/10/2014
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Provider Practice Location Address
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Address Line | 14555 LEVAN RD SUITE 314
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City | LIVONIA
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State | MI
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Zip | 48154-5083
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Country | US
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Telephone | 313-969-7760
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Fax | 313-557-0640
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Provider Business Mailing Address
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Address Line | 9 WINDWARD PL
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City | GROSSE POINTE FARMS
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State | MI
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Zip | 48236-3780
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Country | US
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Telephone | 313-969-7760
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Fax | 313-557-0640
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Authorized Official
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Title or Position | OWNER
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Name | DR. RANJINI SATYADEV
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Credential | MD
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Telephone | 313-300-5607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 4301062043
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License Number State | MI
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