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General NPI Number Information
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NPI Number | 1285983767
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Entity Type | Organization
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Legal Business Name | CYNTHIA OSBORN PHYSICAL THERAPY
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Dates
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Enumeration Date | 08/30/2012
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Last Update Date | 08/30/2012
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Provider Practice Location Address
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Address Line | 1100 CORPORATE CENTER DR SUITE 100
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City | MILFORD
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State | MI
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Zip | 48381
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Country | US
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Telephone | 248-360-6866
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Fax | 248-360-6866
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Provider Business Mailing Address
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Address Line | 9516 ROUNDLAKE BLVD
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City | WHITE LAKE
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State | MI
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Zip | 48386-3969
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Country | US
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Telephone | 248-360-6866
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Fax | 248-360-6866
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | CYNTHIA JEAN OSBORN
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Credential |
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Telephone | 248-360-6866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 5501002197
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License Number State | MI
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