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General NPI Number Information
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NPI Number | 1740733419
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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 | 07/29/2016
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Last Update Date | 08/05/2016
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Provider Practice Location Address
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Address Line | 200 SUMMIT AVE SUITE C
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City | JACKSON
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State | MI
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Zip | 49201-2464
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Country | US
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Telephone | 517-783-9834
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Fax | 517-783-9837
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Provider Business Mailing Address
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Address Line | 200 SUMMIT AVE SUITE C
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City | JACKSON
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State | MI
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Zip | 49201-2464
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Country | US
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Telephone | 517-783-9834
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Fax | 517-783-9837
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Authorized Official
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Title or Position | VP/AUTHORIZED OFFICIAL
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Name | MR. RICHARD BINSTEIN
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Credential |
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Telephone | 713-297-7014
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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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