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NPI 1578803490

NPI 1578803490 : SARA R SCOTT DPT : FARMINGTON HILLS, MI

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General NPI Number Information
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    NPI Number           |    1578803490
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    Entity Type          |    Individual 
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    Provider Name        |    SARA R SCOTT DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/01/2013
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    Last Update Date     |    04/14/2025
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Provider Practice Location Address
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    Address Line         |    23955 FREEWAY PARK DR 
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    City                 |    FARMINGTON HILLS
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    State                |    MI
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    Zip                  |    48335-2817
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    Country              |    US
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    Telephone            |    734-259-2701
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    Fax                  |    833-339-5998
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Provider Business Mailing Address
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    Address Line         |    12306 HOWLAND PARK DR 
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    City                 |    PLYMOUTH
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    State                |    MI
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    Zip                  |    48170-2892
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    Country              |    US
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    Telephone            |    734-259-2701
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    Fax                  |    333-395-9988
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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       |    5501301733
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    License Number State |    MI
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