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General NPI Number Information
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NPI Number | 1497268460
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Entity Type | Organization
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Legal Business Name | MUNGER PHYSICAL THERAPY OF CLINTON TOWNSHIP, PLC
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 44925 MORLEY DR
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48036-1354
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Country | US
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Telephone | 586-846-4320
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Fax | 586-846-4326
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Provider Business Mailing Address
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Address Line | 44925 MORLEY DR
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48036-1354
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Country | US
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Telephone | 868-464-3205
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Fax | 586-846-4326
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Authorized Official
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Title or Position | PT/OWNER
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Name | MARKUS MICHAEL MUNGER
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Credential | PT
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Telephone | 810-385-7405
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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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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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