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General NPI Number Information
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NPI Number | 1497906812
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Entity Type | Organization
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Legal Business Name | V-CARE PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 10/03/2008
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Last Update Date | 10/03/2008
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Provider Practice Location Address
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Address Line | 7312 PARK AVE
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City | ALLEN PARK
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State | MI
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Zip | 48101-1903
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Country | US
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Telephone | 734-925-1527
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Fax |
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Provider Business Mailing Address
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Address Line | 15804 GARRISON LN
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City | SOUTHGATE
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State | MI
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Zip | 48195-3447
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Country | US
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Telephone | 734-925-1527
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Fax | 734-281-1117
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Authorized Official
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Title or Position | PRESIDENT
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Name | UMADEVI RAMACHANDRAN
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Credential | RPT
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Telephone | 734-925-1527
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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 | 5501007790
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License Number State | MI
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