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General NPI Number Information
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NPI Number | 1497234264
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Entity Type | Organization
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Legal Business Name | HOME CARE THERAPY PLLC
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Dates
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Enumeration Date | 08/12/2018
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Last Update Date | 09/13/2018
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Provider Practice Location Address
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Address Line | 1551 W BIG BEAVER RD BLDG D
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City | TROY
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State | MI
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Zip | 48084-3528
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Country | US
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Telephone | 248-787-2761
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Fax | 248-499-7227
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Provider Business Mailing Address
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Address Line | 1551 W BIG BEAVER RD BLDG D
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City | TROY
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State | MI
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Zip | 48084-3528
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Country | US
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Telephone | 248-787-2761
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Fax | 248-499-7227
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Authorized Official
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Title or Position | PRESIDENT
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Name | BHUP THAKUR
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Credential | RPT
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Telephone | 248-787-2761
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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 | 5501004748
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License Number State | MI
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