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General NPI Number Information
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NPI Number | 1811948953
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Entity Type | Organization
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Legal Business Name | KASIM LTD
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 12/09/2015
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Provider Practice Location Address
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Address Line | 1550 3 MILE RD NW SUITE B
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City | GRAND RAPIDS
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State | MI
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Zip | 49544-8251
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Country | US
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Telephone | 616-785-8535
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Fax | 616-785-1201
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Provider Business Mailing Address
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Address Line | 1550 3 MILE RD NW SUITE B
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City | GRAND RAPIDS
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State | MI
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Zip | 49544-8251
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Country | US
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Telephone | 616-785-8535
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Fax | 616-785-1201
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. MICHELLE R BENT
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Credential |
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Telephone | 616-785-8535
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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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