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General NPI Number Information
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NPI Number | 1619732856
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Entity Type | Organization
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Legal Business Name | FILA PERFORMANCE AND REHAB
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Dates
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Enumeration Date | 02/16/2024
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 8776 S 10TH ST
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City | KALAMAZOO
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State | MI
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Zip | 49009-8944
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Country | US
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Telephone | 231-758-4159
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Fax |
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Provider Business Mailing Address
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Address Line | 8776 S 10TH ST
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City | KALAMAZOO
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State | MI
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Zip | 49009-8944
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Country | US
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Telephone | 231-758-4159
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | ANDREW FILA
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Credential | PT, DPT, OCS
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Telephone | 231-758-4159
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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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