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General NPI Number Information
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NPI Number | 1861418634
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Entity Type | Individual
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Provider Name | PREETI S VAKHARIYA PT
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 11/13/2012
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Provider Practice Location Address
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Address Line | 7762 NORTH FEDERAL RD
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City | HOWARD CITY
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State | MI
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Zip | 49329
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Country | US
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Telephone | 231-937-8485
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Fax | 231-937-9836
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Provider Business Mailing Address
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Address Line | 7762 NORTH FEDERAL RD P.0.BOX 256
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City | HOWARDCITY
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State | MI
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Zip | 49329
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Country | US
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Telephone | 231-937-8485
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Fax | 231-937-9836
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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 | 5501008672
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 5501008672
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | 5501008672
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 5501008672
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 5501008672
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License Number State | MI
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