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General NPI Number Information
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NPI Number | 1376887141
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Entity Type | Organization
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Legal Business Name | AMERICAN PHYSIO LLC
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Dates
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Enumeration Date | 11/19/2012
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 22142 W 9 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48033-6007
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Country | US
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Telephone | 313-624-9900
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Fax | 313-624-9901
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Provider Business Mailing Address
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Address Line | PO BOX 3310
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City | SOUTHFIELD
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State | MI
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Zip | 48037-3310
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Country | US
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Telephone | 313-624-9900
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Fax | 313-624-9901
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | LOVELY SIMON
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Credential | PT
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Telephone | 313-624-9900
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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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Taxonomy #2
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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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