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General NPI Number Information
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NPI Number | 1396418117
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Entity Type | Individual
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Provider Name | RENEE M PRZESLAWSKI MPT
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Gender | Female
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | PACE SOUTHEAST MICHIGAN - CORPORATE HQ 21700 NORTHWESTERN HWY STE 900
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 855-445-4554
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Fax |
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Provider Business Mailing Address
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Address Line | 74 POWELL ST
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City | OXFORD
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State | MI
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Zip | 48371-4967
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Country | US
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Telephone |
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Fax |
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 5501005794
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License Number State | MI
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