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General NPI Number Information
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NPI Number | 1114537719
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Entity Type | Organization
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Legal Business Name | AXPERT REHAB CARE, LLC
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 22830 KELLY RD
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City | EASTPOINTE
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State | MI
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Zip | 48021-2072
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Country | US
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Telephone | 313-485-0809
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Fax |
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Provider Business Mailing Address
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Address Line | 14313 ARTESIAN ST
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City | DETROIT
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State | MI
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Zip | 48223-2919
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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 | LYNZEE M BLANKS
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Credential |
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Telephone | 313-485-0809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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