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General NPI Number Information
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NPI Number | 1902206477
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Entity Type | Organization
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Legal Business Name | NEW BEGINNING PHYSICAL THERAPY CENTER
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 27837 7 MILE RD
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City | LIVONIA
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State | MI
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Zip | 48152-3701
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Country | US
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Telephone | 734-301-7960
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Fax | 313-539-4842
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Provider Business Mailing Address
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Address Line | 27837 7 MILE RD
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City | LIVONIA
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State | MI
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Zip | 48152-3701
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Country | US
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Telephone | 734-301-7960
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Fax | 313-539-4842
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Authorized Official
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Title or Position | ADMINISTRATION ASSISTANCE
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Name | MRS. IDA ADAMS
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Credential |
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Telephone | 734-301-7960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | MI
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