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General NPI Number Information
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NPI Number | 1275756942
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Entity Type | Organization
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Legal Business Name | NEIL KING PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 141 HAMPTON CIR
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-4103
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Country | US
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Telephone | 248-853-7555
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Fax | 248-853-7556
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Provider Business Mailing Address
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Address Line | 141 HAMPTON CIR
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-4103
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Country | US
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Telephone | 248-853-7555
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Fax | 248-853-7556
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Authorized Official
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Title or Position | OWNER
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Name | MR. NEIL G KING
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Credential | P.T
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Telephone | 248-853-7555
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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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