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General NPI Number Information
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NPI Number | 1396988994
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Entity Type | Organization
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Legal Business Name | HNW PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 04/13/2009
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Last Update Date | 04/13/2009
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Provider Practice Location Address
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Address Line | 47100 SCHOENHERR RD SUITE D
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48315-4716
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Country | US
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Telephone | 586-685-0505
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Fax | 586-685-0501
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Provider Business Mailing Address
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Address Line | 47100 SCHOENHERR RD SUITE D
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48315-4716
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Country | US
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Telephone | 586-685-0505
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Fax | 586-685-0501
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. HEATHER NAOMI WEBER
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Credential | PT
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Telephone | 586-685-0505
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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 | 5501011742
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License Number State | MI
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