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General NPI Number Information
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NPI Number | 1962673285
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Entity Type | Organization
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Legal Business Name | UZNIS-DWIGHT PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 18101 E WARREN AVE
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City | DETROIT
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State | MI
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Zip | 48224-1382
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Country | US
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Telephone | 313-881-5678
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Fax | 313-881-9337
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Provider Business Mailing Address
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Address Line | 42615 GARFIELD RD
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1653
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Country | US
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Telephone | 586-412-2845
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Fax | 586-416-1497
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM HOWARD DWIGHT
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Credential | PT
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Telephone | 248-866-4364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational 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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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