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General NPI Number Information
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NPI Number | 1326493479
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE PHYSICAL THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 04/26/2016
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Last Update Date | 05/01/2016
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Provider Practice Location Address
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Address Line | 23455 MICHIGAN AVE STE B
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City | DEARBORN
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State | MI
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Zip | 48124-1908
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Country | US
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Telephone | 313-438-6094
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Fax |
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Provider Business Mailing Address
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Address Line | 23455 MICHIGAN AVE STE B
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City | DEARBORN
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State | MI
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Zip | 48124-1908
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Country | US
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Telephone | 313-438-6094
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALI HASSAN
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Credential | MD
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Telephone | 313-438-6094
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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 |
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License Number State |
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