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General NPI Number Information
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NPI Number | 1831690395
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Entity Type | Individual
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Provider Name | TRUDE RODLI-CULVER PT
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Gender | Female
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Dates
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Enumeration Date | 02/21/2018
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Last Update Date | 02/21/2018
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Provider Practice Location Address
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Address Line | 3394 E JOLLY RD STE B
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City | LANSING
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State | MI
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Zip | 48910-8595
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Country | US
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Telephone | 517-975-3520
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Fax |
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Provider Business Mailing Address
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Address Line | 5599 WOOD VALLEY DR
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City | HASLETT
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State | MI
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Zip | 48840-9714
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Country | US
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Telephone | 517-290-1103
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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 | 5501003147
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License Number State | MI
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