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General NPI Number Information
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NPI Number | 1407060221
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Entity Type | Organization
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Legal Business Name | HEALTHTRAK PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 11/22/2011
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Provider Practice Location Address
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Address Line | 903 N EUCLID AVE SUITE 3
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City | BAY CITY
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State | MI
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Zip | 48706-2478
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Country | US
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Telephone | 989-684-5009
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Fax | 989-684-6929
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Provider Business Mailing Address
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Address Line | 903 N EUCLID AVE SUITE 3
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City | BAY CITY
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State | MI
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Zip | 48706-2478
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Country | US
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Telephone | 989-684-5009
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Fax | 989-684-6929
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES T ECKHOUT
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Credential | R..P.T.
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Telephone | 989-684-5009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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