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General NPI Number Information
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NPI Number | 1841651502
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Entity Type | Organization
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Legal Business Name | LIVON PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 03/09/2016
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 17916 FARMINGTON RD BLDG A
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City | LIVONIA
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State | MI
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Zip | 48152-3104
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Country | US
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Telephone | 734-744-9236
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Fax | 734-744-9237
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Provider Business Mailing Address
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Address Line | 17916 FARMINGTON RD BLDG A
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City | LIVONIA
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State | MI
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Zip | 48152-3104
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Country | US
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Telephone | 734-744-9236
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Fax | 734-744-9237
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MR. RAJIV CHHABRIA
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Credential |
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Telephone | 734-744-9236
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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 | 5501008129
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License Number State | MI
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