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General NPI Number Information
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NPI Number | 1376576744
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Entity Type | Organization
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Legal Business Name | FAMILY CARE PLUS PHYSICAL THERAPY & WELLNESS, LLC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | G2037 S CENTER RD SUITE A
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City | BURTON
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State | MI
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Zip | 48519-1101
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Country | US
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Telephone | 810-814-0607
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Fax |
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Provider Business Mailing Address
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Address Line | 5034 SPRING WELL LN
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City | GRAND BLANC
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State | MI
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Zip | 48439-4236
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Country | US
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Telephone | 810-606-0005
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SACHIN H DESAI
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Credential | PHYSICAL THERAPIST
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Telephone | 810-814-0607
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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 | 5501004958
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License Number State | MI
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