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General NPI Number Information
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NPI Number | 1336418870
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Entity Type | Organization
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Legal Business Name | SUNNY PHYSICALTHERAPY
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Dates
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Enumeration Date | 12/28/2011
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 1525 W CARO RD
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City | CARO
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State | MI
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Zip | 48723-9686
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Country | US
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Telephone | 989-497-9970
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 MORNINGSIDE LN
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City | SAGINAW
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State | MI
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Zip | 48603-1283
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Country | US
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Telephone | 989-401-2611
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. PEACHERA SRIKANTH
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Credential | P.T
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Telephone | 989-971-1144
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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 | 5501012227
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License Number State | MI
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