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General NPI Number Information
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NPI Number | 1538443841
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Entity Type | Organization
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Legal Business Name | PREFERRED THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 19460 GRAND RIVER AVE
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City | DETROIT
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State | MI
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Zip | 48223-1200
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Country | US
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Telephone | 248-790-5441
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Fax |
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Provider Business Mailing Address
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Address Line | 24019 WATERCREST CT
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City | FARMINGTON HILLS
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State | MI
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Zip | 48336-2716
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Country | US
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Telephone | 248-790-5441
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Fax |
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Authorized Official
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Title or Position | RPT/OWNER
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Name | MR. ABBAS S ABDUL MAJEED
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Credential |
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Telephone | 248-790-5441
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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 | 5501005725
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License Number State | MI
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