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General NPI Number Information
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NPI Number | 1669159422
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Entity Type | Organization
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Legal Business Name | EXPERT CARE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 6780 ROCHESTER RD
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City | TROY
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State | MI
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Zip | 48085-1283
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Country | US
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Telephone | 586-764-3543
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Fax |
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Provider Business Mailing Address
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Address Line | 43754 SWEETWOOD DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-4509
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Country | US
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Telephone | 586-764-3543
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAMINI KOMARRAJU
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Credential | DPT
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Telephone | 586-764-3543
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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 |
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License Number State |
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