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General NPI Number Information
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NPI Number | 1356166250
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Entity Type | Organization
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Legal Business Name | SYMMETRY PELVIC HEALTH
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 3256 UNIVERSITY DR STE 50
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City | AUBURN HILLS
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State | MI
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Zip | 48326-2393
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Country | US
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Telephone | 248-297-1935
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Fax |
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Provider Business Mailing Address
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Address Line | 3256 UNIVERSITY DR STE 50
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City | AUBURN HILLS
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State | MI
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Zip | 48326-2393
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Country | US
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Telephone | 248-297-1935
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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 | RACHELLE LARSON
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Credential | PT
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Telephone | 248-297-1935
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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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