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General NPI Number Information
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NPI Number | 1497000830
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Entity Type | Organization
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Legal Business Name | EXCELLENT CARE PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 07/23/2012
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 19145 ALLEN RD SUITE 110
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City | BROWNSTOWN TWP
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State | MI
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Zip | 48183-6812
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Country | US
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Telephone | 734-225-6551
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Fax | 734-225-6581
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Provider Business Mailing Address
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Address Line | 19145 ALLEN RD SUITE 110
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City | BROWNSTOWN TWP
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State | MI
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Zip | 48183-6812
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Country | US
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Telephone | 734-225-6551
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Fax | 734-225-6581
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. AHMED HAMMAM
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Credential | PT
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Telephone | 734-225-6551
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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 | 5501009407
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License Number State | MI
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Taxonomy #2
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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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