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General NPI Number Information
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NPI Number | 1467322693
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Entity Type | Organization
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Legal Business Name | R1 STRENGTH LAB LLC
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 1307 E MAPLE RD STE G
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City | TROY
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State | MI
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Zip | 48083-6023
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Country | US
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Telephone | 312-860-8720
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 E MAPLE RD STE G
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City | TROY
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State | MI
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Zip | 48083-6023
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Country | US
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Telephone | 312-860-8720
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARK KODLOWSKI
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Credential |
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Telephone | 312-860-8720
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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 |
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License Number State |
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