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General NPI Number Information
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NPI Number | 1437446937
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Entity Type | Individual
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Provider Name | VERONICA J. CHENAULT PT, DPT, CKTP
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Gender | Female
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Dates
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Enumeration Date | 07/05/2011
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 7701 GRAND RIVER RD STE 100
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City | BRIGHTON
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State | MI
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Zip | 48114-9396
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Country | US
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Telephone | 517-579-2839
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Fax | 517-579-2838
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Provider Business Mailing Address
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Address Line | PO BOX 323
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City | FOWLERVILLE
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State | MI
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Zip | 48836-0323
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Country | US
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Telephone | 517-223-8308
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Fax | 517-223-8344
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501014599
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License Number State | MI
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