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General NPI Number Information
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NPI Number | 1578035739
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Entity Type | Individual
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Provider Name | JENNIFER ELIZABETH FRABONI PT,DPT
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Gender | Female
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Dates
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Enumeration Date | 12/27/2018
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 44201 DEQUINDRE RD STE 203A
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City | TROY
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State | MI
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Zip | 48085-1117
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Country | US
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Telephone | 248-964-0414
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Fax |
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Provider Business Mailing Address
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Address Line | 22485 PROVINCIAL ST
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City | WOODHAVEN
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State | MI
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Zip | 48183-3782
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Country | US
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Telephone | 734-991-3684
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 5501018725
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License Number State | MI
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