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General NPI Number Information
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NPI Number | 1821121260
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTH PROFESSIONALS, PC
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4478 DOWLING ST
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City | MONTAGUE
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State | MI
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Zip | 49437-1201
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Country | US
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Telephone | 231-894-4531
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Fax | 231-894-8158
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Provider Business Mailing Address
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Address Line | 4478 DOWLING ST
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City | MONTAGUE
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State | MI
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Zip | 49437-1201
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Country | US
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Telephone | 231-894-4531
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Fax | 231-894-8158
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CINDY L HODGES
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Credential |
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Telephone | 231-894-4531
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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 | 5501003699
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License Number State | MI
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