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General NPI Number Information
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NPI Number | 1770158750
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Entity Type | Individual
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Provider Name | ANTHONY DAVEY DPT
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Gender | Male
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Dates
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Enumeration Date | 05/23/2021
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 16910 SOUTHFIELD RD
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City | ALLEN PARK
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State | MI
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Zip | 48101-2574
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Country | US
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Telephone | 313-637-9601
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Fax | 313-725-9305
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Provider Business Mailing Address
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Address Line | 2122 YORK RD STE 300
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City | OAK BROOK
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State | IL
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Zip | 60523-1925
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Country | US
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Telephone | 630-575-1980
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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 | 304092
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | LPT-033860
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501019875
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License Number State | MI
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