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General NPI Number Information
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NPI Number | 1790036077
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Entity Type | Individual
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Provider Name | RAMINDER KAUR
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Gender | Female
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | 23411 GRATIOT AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021
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Country | US
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Telephone | 586-776-0080
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Fax | 586-776-4349
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Provider Business Mailing Address
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Address Line | 8540 BARRINGTON DR
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City | YPSILANTI
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State | MI
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Zip | 48198
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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 |
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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 | 5501012868
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License Number State | MI
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