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General NPI Number Information
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NPI Number | 1649205121
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Entity Type | Organization
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Legal Business Name | METROPOLITAN PHYSICAL THERAPY AGENCY, INC.
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 10/29/2015
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Provider Practice Location Address
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Address Line | 13636 DIX TOLEDO RD SUITE B
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City | SOUTHGATE
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State | MI
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Zip | 48195-2432
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Country | US
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Telephone | 734-283-2262
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Fax | 248-808-6268
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Provider Business Mailing Address
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Address Line | 13636 DIX TOLEDO RD SUITE B
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City | SOUTHGATE
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State | MI
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Zip | 48195-2432
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Country | US
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Telephone | 734-283-2262
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Fax | 248-808-6268
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. HINA T QAZI
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Credential |
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Telephone | 734-512-8009
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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 | 1482188
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | MI
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