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General NPI Number Information
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NPI Number | 1942259072
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Entity Type | Organization
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Legal Business Name | DOWNRIVER PHYSICAL THERAPY & REHABILITATION, LLC
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 08/03/2012
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Provider Practice Location Address
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Address Line | 641 W 9 MILE RD
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City | FERNDALE
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State | MI
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Zip | 48220-1779
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Country | US
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Telephone | 248-399-5212
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Fax | 248-399-5256
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Provider Business Mailing Address
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Address Line | 641 W 9 MILE RD
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City | FERNDALE
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State | MI
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Zip | 48220-1779
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Country | US
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Telephone | 248-987-6681
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Fax | 248-987-6682
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Authorized Official
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Title or Position | PRESIDENT
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Name | MAHMOOD AMIR
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Credential |
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Telephone | 248-987-6681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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