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General NPI Number Information
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NPI Number | 1073054797
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Entity Type | Organization
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Legal Business Name | OPERATION WELLNESS LLC
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Dates
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Enumeration Date | 03/14/2017
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Last Update Date | 10/09/2017
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Provider Practice Location Address
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Address Line | 8200 IRVING RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-4621
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Country | US
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Telephone | 313-801-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 8200 IRVING RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-4621
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DUAA ALKARAWY
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Credential |
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Telephone | 313-801-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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