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General NPI Number Information
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NPI Number | 1679976641
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Entity Type | Organization
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Legal Business Name | PLYMOUTH PHYSICAL THERAPY SPECIALISTS LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 10/03/2014
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Last Update Date | 10/03/2014
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Provider Practice Location Address
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Address Line | 43314 MOUND RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-2022
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Country | US
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Telephone | 586-997-0375
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Fax | 586-997-0523
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Provider Business Mailing Address
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Address Line | 9368 N LILLEY RD
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City | PLYMOUTH
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State | MI
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Zip | 48170-4610
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP, AUTHORIZED OFFICIAL
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Name | RICHARD BINSTEIN
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Credential |
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Telephone | 713-297-7000
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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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