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General NPI Number Information
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NPI Number | 1902739733
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Entity Type | Individual
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Provider Name | AMANDA CHEHAB
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Gender | Female
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 3900 PINE GROVE AVE STE 7
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City | FORT GRATIOT
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State | MI
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Zip | 48059-4245
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Country | US
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Telephone | 810-824-3763
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Fax |
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Provider Business Mailing Address
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Address Line | 37704 BAYLOR DR
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City | STERLING HTS
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State | MI
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Zip | 48310-4039
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Country | US
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Telephone | 586-467-2545
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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 | 5501304432
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License Number State | MI
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