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General NPI Number Information
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NPI Number | 1760726384
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Entity Type | Individual
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Provider Name | CHARNPREET SINGH PT
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Gender | Male
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Dates
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Enumeration Date | 11/20/2012
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Last Update Date | 11/01/2013
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Provider Practice Location Address
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Address Line | 19785 W 12 MILE ROAD SUITE 675
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2584
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Country | US
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Telephone | 248-213-8294
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Fax | 248-443-0165
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Provider Business Mailing Address
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Address Line | 7633 E JEFFERSON AVE SUITE 200
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City | DETROIT
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State | MI
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Zip | 48214-3730
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Country | US
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Telephone | 313-651-7170
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Fax | 313-824-2724
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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 | 5501016113
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License Number State | MI
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