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NPI 1730512666

NPI 1730512666 : NANCY HOUZE DPT : NOVI, MI

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General NPI Number Information
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    NPI Number           |    1730512666
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    Entity Type          |    Individual 
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    Provider Name        |    NANCY HOUZE DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/14/2013
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    Last Update Date     |    10/08/2024
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Provider Practice Location Address
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    Address Line         |    39450 W 12 MILE RD STE 1A 
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    City                 |    NOVI
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    State                |    MI
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    Zip                  |    48377-3600
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    Country              |    US
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    Telephone            |    248-344-2300
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    790 REMINGTON BLVD 
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    City                 |    BOLINGBROOK
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    State                |    IL
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    Zip                  |    60440-4909
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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    |    
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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        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    5501016197
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    License Number State |    MI
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