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General NPI Number Information
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NPI Number | 1932692464
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Entity Type | Individual
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Provider Name | APRIL PELFREY
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Gender | Female
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Dates
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Enumeration Date | 06/09/2018
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 2020 RAYBROOK ST SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-7717
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Country | US
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Telephone | 616-333-2721
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Fax |
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Provider Business Mailing Address
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Address Line | 420 ALABAMA AVE NW APT 107
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City | GRAND RAPIDS
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State | MI
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Zip | 49504-5708
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Country | US
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Telephone | 269-873-8592
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 5502005620
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501302508
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License Number State | MI
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