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General NPI Number Information
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NPI Number | 1417017427
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Entity Type | Organization
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Legal Business Name | PROHEALTH REHABILITATION PLLC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 117 E MIDLAND RD
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City | AUBURN
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State | MI
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Zip | 48611-9780
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Country | US
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Telephone | 989-662-7517
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Fax | 989-662-7516
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Provider Business Mailing Address
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Address Line | 117 E MIDLAND RD
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City | AUBURN
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State | MI
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Zip | 48611-9780
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Country | US
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Telephone | 989-662-7517
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Fax | 989-662-7516
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Authorized Official
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Title or Position | OWNER
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Name | MR. THOMAS MICHAEL BARBA
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Credential | MPT
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Telephone | 989-662-7517
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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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