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General NPI Number Information
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NPI Number | 1790143824
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Entity Type | Organization
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Legal Business Name | PREVENTATIVE THERAPY, LLC
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Dates
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Enumeration Date | 02/03/2016
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 25507 ECORSE RD STE D
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City | TAYLOR
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State | MI
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Zip | 48180-1555
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Country | US
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Telephone | 313-914-7590
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Fax |
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Provider Business Mailing Address
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Address Line | 25507 ECORSE RD STE D
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City | TAYLOR
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State | MI
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Zip | 48180-1555
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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 | MEMBER
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Name | AMAR N PATEL
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Credential | P.T.
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Telephone | 313-914-7590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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