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General NPI Number Information
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NPI Number | 1700594140
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Entity Type | Organization
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Legal Business Name | SNM PHYSICAL THERAPY L.L.C.
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 37860 VAN DYKE AVE
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-1840
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Country | US
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Telephone | 248-630-6373
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 725010
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City | BERKLEY
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State | MI
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Zip | 48072-5010
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Country | US
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Telephone | 844-766-7800
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NEELAM THAWANI
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Credential | PT
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Telephone | 248-630-6373
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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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