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General NPI Number Information
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NPI Number | 1538604954
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Entity Type | Organization
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Legal Business Name | DEARBORN PHYSICAL THERAPY LTD
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Dates
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Enumeration Date | 12/20/2016
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Last Update Date | 12/20/2016
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Provider Practice Location Address
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Address Line | 46401 ROMEO PLANK RD SUITE 5
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City | MACOMB
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State | MI
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Zip | 48044-3510
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Country | US
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Telephone | 586-333-5704
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Fax | 586-948-8008
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Provider Business Mailing Address
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Address Line | 46401 ROMEO PLANK RD SUITE 5
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City | MACOMB
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State | MI
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Zip | 48044-3510
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Country | US
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Telephone | 586-333-5704
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Fax | 586-948-8008
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Authorized Official
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Title or Position | VP/AUTHORIZED OFFICIAL
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Name | RICHARD BINSTEIN
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Credential |
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Telephone | 713-297-7000
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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 |
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License Number State |
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