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General NPI Number Information
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NPI Number | 1912562984
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Entity Type | Organization
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Legal Business Name | EPIC MANAGEMENT, LLC
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 25865 W 12 MILE RD STE 101
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1817
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Country | US
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Telephone | 248-864-8249
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Fax | 248-864-8609
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Provider Business Mailing Address
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Address Line | 25865 W 12 MILE RD STE 101
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1817
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Country | US
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Telephone | 248-864-8249
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Fax | 248-864-8609
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. SHAHZAD YUSUF
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Credential | MHA
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Telephone | 248-910-1727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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