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General NPI Number Information
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NPI Number | 1750303897
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Entity Type | Organization
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Legal Business Name | HERITAGE HEALTH CARE SYSTEMS, INC
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3120 CARPENTER ST STE 211
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City | HAMTRAMCK
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State | MI
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Zip | 48212-9802
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Country | US
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Telephone | 313-893-2483
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Fax |
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Provider Business Mailing Address
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Address Line | 3120 CARPENTER ST STE 211
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City | HAMTRAMCK
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State | MI
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Zip | 48212-9802
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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 | OWNER
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Name | MR. ROMMEL RAMOS PEREZ
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Credential | PT
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Telephone | 313-893-2483
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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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