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General NPI Number Information
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NPI Number | 1801317409
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Entity Type | Organization
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Legal Business Name | WE CARE PHYSICAL THERAPY
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Dates
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Enumeration Date | 07/05/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 17220 W 12 MILE RD # 140
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2114
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Country | US
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Telephone | 313-948-5354
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Fax |
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Provider Business Mailing Address
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Address Line | 17220 W 12 MILE RD # 140
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2114
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Country | US
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Telephone | 313-948-5354
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CALIL BAIZ
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Credential |
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Telephone | 313-948-5354
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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 | 5501014432
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License Number State | MI
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