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General NPI Number Information
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NPI Number | 1073949798
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Entity Type | Organization
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Legal Business Name | WORK REHAB SOLUTIONS, PLC
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Dates
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Enumeration Date | 09/26/2013
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Last Update Date | 08/24/2015
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Provider Practice Location Address
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Address Line | 3655 S BALDWIN RD
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City | ORION
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State | MI
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Zip | 48359-1506
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Country | US
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Telephone | 248-393-1699
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Fax | 248-393-1699
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Provider Business Mailing Address
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Address Line | 3655 S BALDWIN RD
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City | ORION
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State | MI
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Zip | 48359-1506
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Country | US
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Telephone | 248-393-1699
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Fax | 248-393-1699
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Authorized Official
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Title or Position | CLINICAL DIRECTOR AND PRESIDENT
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Name | MR. TODD ALLEN HAGBERG
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Credential | OTR
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Telephone | 248-393-1699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XE0001X
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Taxonomy Name | Environmental Modification 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 | 225XE1200X
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Taxonomy Name | Ergonomics Occupational Therapist
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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