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General NPI Number Information
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NPI Number | 1013403658
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Entity Type | Organization
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Legal Business Name | H & K HOLDING GROUP LLC
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Dates
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Enumeration Date | 07/06/2018
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Last Update Date | 07/06/2018
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Provider Practice Location Address
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Address Line | 15565 NORTHLAND DR W STE 308
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City | SOUTHFIELD
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State | MI
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Zip | 48075-5312
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Country | US
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Telephone | 248-327-6766
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Fax | 248-996-8457
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Provider Business Mailing Address
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Address Line | 1431 WASHINGTON BLVD APT 1608
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City | DETROIT
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State | MI
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Zip | 48226-1724
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Country | US
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Telephone | 313-888-2333
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HASSAN FAYAD
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Credential |
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Telephone | 313-888-2333
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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 | 802213125
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License Number State | MI
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