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General NPI Number Information
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NPI Number | 1346351343
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Entity Type | Individual
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Provider Name | PAUL STEVEN CZARNECKI PT
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 861 HEALTH PARK BLVD
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City | GRAND BLANC
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State | MI
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Zip | 48439-7383
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Country | US
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Telephone | 810-953-0095
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Fax | 810-953-0031
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Provider Business Mailing Address
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Address Line | 2050 S LINDEN RD STE 304
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City | FLINT
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State | MI
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Zip | 48532-4161
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Country | US
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Telephone | 810-733-8222
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Fax | 810-733-8863
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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 | 5501005366
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License Number State | MI
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