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General NPI Number Information
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NPI Number | 1922543768
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Entity Type | Individual
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Provider Name | MURALIDHAR VENKATA SATYA SUNKARA PT,DPT
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Gender | Male
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Dates
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Enumeration Date | 01/04/2017
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Last Update Date | 12/15/2023
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Provider Practice Location Address
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Address Line | 555 BARCLAY CIR STE 110
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-4574
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Country | US
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Telephone | 248-229-3078
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Fax |
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Provider Business Mailing Address
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Address Line | 44862 LAFAYETTE DR
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City | NOVI
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State | MI
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Zip | 48377-2549
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Country | US
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Telephone | 248-229-3078
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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 | 5501011854
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License Number State | MI
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