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NPI 1538680202

NPI 1538680202 : LEVEL 1 PHYSICAL THERAPY AND REHAB LLC : DETROIT, MI

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General NPI Number Information
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    NPI Number           |    1538680202
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEVEL 1 PHYSICAL THERAPY AND REHAB LLC 
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Dates
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    Enumeration Date     |    07/03/2017
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    14243 W 8 MILE RD 
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    City                 |    DETROIT
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    State                |    MI
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    Zip                  |    48235-1502
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    Country              |    US
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    Telephone            |    313-341-4444
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14243 W 8 MILE RD 
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    City                 |    DETROIT
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    State                |    MI
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    Zip                  |    48235-1502
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    Country              |    US
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    Telephone            |    313-341-4444
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. ZAHIR  SHAH 
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    Credential           |    
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    Telephone            |    313-588-6348
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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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