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General NPI Number Information
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NPI Number | 1750721940
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Entity Type | Individual
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Provider Name | ANNE PHAIR
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Gender | Female
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Dates
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Enumeration Date | 07/02/2013
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Last Update Date | 07/02/2013
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Provider Practice Location Address
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Address Line | 729 W ANN ARBOR TRL STE 3
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City | PLYMOUTH
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State | MI
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Zip | 48170-6225
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Country | US
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Telephone | 734-207-5053
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Fax | 734-207-5078
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Provider Business Mailing Address
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Address Line | 16256 WINCHESTER DR
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City | NORTHVILLE
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State | MI
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Zip | 48168-2347
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Country | US
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Telephone | 248-207-1038
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501002982
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License Number State | MI
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