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General NPI Number Information
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NPI Number | 1104902543
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Entity Type | Organization
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Legal Business Name | REHAB CARE OF MICHIGAN, INC
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Dates
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Enumeration Date | 10/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 24537 OLDE ORCHARD ST
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City | NOVI
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State | MI
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Zip | 48375-2977
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Country | US
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Telephone | 248-478-2858
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Fax |
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Provider Business Mailing Address
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Address Line | 24537 OLDE ORCHARD ST
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City | NOVI
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State | MI
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Zip | 48375-2977
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Country | US
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Telephone | 248-478-2858
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANEELA JAHANGIR
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Credential | RPT
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Telephone | 248-478-2858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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