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General NPI Number Information
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NPI Number | 1447396817
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Entity Type | Individual
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Provider Name | SHRADHDHA D LADANI R.P.T.
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4150 225TH AVE, SUITE C
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City | REED CITY
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State | MI
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Zip | 49677-7918
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Country | US
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Telephone | 989-560-7591
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Fax | 989-772-7766
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Provider Business Mailing Address
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Address Line | 4150 225TH AVE, SUITE C
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City | REED CITY
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State | MI
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Zip | 49677-7918
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Country | US
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Telephone | 989-560-7591
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Fax | 989-772-7766
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 5501012793
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License Number State | MI
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