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General NPI Number Information
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NPI Number | 1235268632
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Entity Type | Individual
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Provider Name | PEEYUSH SHARMA PT
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Gender | Male
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Dates
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Enumeration Date | 03/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2333 BIDDLE ST HENRY FORD WYANDOTTE HOSPITAL
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City | WYANDOTTE
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State | MI
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Zip | 48192-4668
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Country | US
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Telephone | 734-246-8963
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Fax |
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Provider Business Mailing Address
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Address Line | SEA WAY TOWER 411-8325 RIVERSIDE DRIVE EAST
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City | WINDSOR
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State | ONTARIO
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Zip | N8S 1E8
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Country | CA
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Telephone | 15198198392
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 5501009364
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License Number State | MI
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