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General NPI Number Information
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NPI Number | 1043456619
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Entity Type | Organization
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Legal Business Name | ZENITH REHABILITATION SERVICES INC.
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Dates
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Enumeration Date | 01/01/2009
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Last Update Date | 01/01/2009
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Provider Practice Location Address
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Address Line | 323 PARKWOOD DR APT R8
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City | LANSING
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State | MI
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Zip | 48917-3213
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Country | US
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Telephone | 810-338-3506
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Fax |
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Provider Business Mailing Address
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Address Line | 323 PARKWOOD DR APT R8
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City | LANSING
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State | MI
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Zip | 48917-3213
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Country | US
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Telephone | 810-338-3506
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / PHYSICAL THERAPIST
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Name | CHINMAY ZINZUVADIA
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Credential | PT
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Telephone | 810-338-3506
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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 | 5501012485
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License Number State | MI
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