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General NPI Number Information
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NPI Number | 1922402007
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY AND REHAB SERVICES OF MI LLC
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 12/01/2014
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Provider Practice Location Address
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Address Line | 15608 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48154-2852
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Country | US
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Telephone | 248-275-3434
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Fax | 866-571-6392
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Provider Business Mailing Address
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Address Line | 15608 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48154-2852
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Country | US
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Telephone | 248-275-3434
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Fax | 866-571-6392
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MUHAMMAD R SIDDIQUI
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Credential | PHYSICAL THERAPIST
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Telephone | 248-275-3434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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