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General NPI Number Information
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NPI Number | 1033225842
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Entity Type | Organization
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Legal Business Name | YOUNG REHAB COMPANY PC
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 3945 OKEMOS RD STE B2
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City | OKEMOS
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State | MI
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Zip | 48864-4210
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Country | US
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Telephone | 517-349-4268
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Fax | 517-349-4298
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Provider Business Mailing Address
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Address Line | 3530 E HIAWATHA DR
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City | OKEMOS
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State | MI
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Zip | 48864-4041
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Country | US
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Telephone | 517-349-4268
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Fax | 517-349-4298
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. AJAY KUMAR BHARGAVA
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Credential | P.T.
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Telephone | 517-349-4268
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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 | MI
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State | MI
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Taxonomy #3
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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 | MI
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