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General NPI Number Information
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NPI Number | 1912224106
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Entity Type | Individual
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Provider Name | PHILLIP NORMAN SCHUYTEN PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 04/27/2010
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Last Update Date | 04/27/2010
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Provider Practice Location Address
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Address Line | 9368 N LILLEY RD
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City | PLYMOUTH
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State | MI
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Zip | 48170-4610
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Country | US
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Telephone | 734-416-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 26355 FIELDSTONE DR
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City | NOVI
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State | MI
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Zip | 48374-2151
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Country | US
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Telephone | 248-982-5655
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 5501015154
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License Number State | MI
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