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General NPI Number Information
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NPI Number | 1649831330
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Entity Type | Individual
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Provider Name | EMILY ROUSCH DPT
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Gender | Female
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Dates
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Enumeration Date | 06/24/2019
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Last Update Date | 06/24/2019
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Provider Practice Location Address
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Address Line | 9870 TELEGRAPH RD STE B
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City | TAYLOR
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State | MI
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Zip | 48180-3334
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Country | US
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Telephone | 313-295-5020
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Fax |
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Provider Business Mailing Address
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Address Line | 41225 CROSSBOW CIR APT 207
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City | CANTON
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State | MI
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Zip | 48188-3141
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Country | US
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Telephone | 269-598-2246
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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 | 5501018901
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License Number State | MI
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