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General NPI Number Information
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NPI Number | 1659817500
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Entity Type | Organization
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Legal Business Name | REMEDY PHYSICAL THERAPY, PLC
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Dates
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Enumeration Date | 01/17/2017
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 916 WASHINGTON AVE SUITE 204
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City | BAY CITY
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State | MI
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Zip | 48708-5730
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Country | US
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Telephone | 989-778-2200
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Fax | 989-778-2201
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Provider Business Mailing Address
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Address Line | 804 N WATER ST
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City | BAY CITY
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State | MI
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Zip | 48708-5620
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Country | US
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Telephone | 989-450-3341
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KERRY BAKER
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Credential | PT
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Telephone | 989-545-0787
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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 | 5501002966
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License Number State | MI
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