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General NPI Number Information
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NPI Number | 1629783402
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Entity Type | Organization
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Legal Business Name | BALANCE REHAB LLC
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 5060 VILLA LINDE PKWY
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City | FLINT
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State | MI
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Zip | 48532-3411
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Country | US
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Telephone | 810-733-5060
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Fax |
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Provider Business Mailing Address
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Address Line | 5785 SPRINGBROOK DR
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City | TROY
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State | MI
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Zip | 48098-5357
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Country | US
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Telephone | 248-667-1877
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAIYID M HUSSAINI
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Credential | R.P.T.
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Telephone | 248-667-1877
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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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