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General NPI Number Information
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NPI Number | 1134446677
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Entity Type | Organization
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Legal Business Name | MAGNUM HEALTH AND REHAB OF MONROE LLC
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 01/27/2015
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Provider Practice Location Address
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Address Line | 1215 N TELEGRAPH RD
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City | MONROE
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State | MI
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Zip | 48162-3368
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Country | US
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Telephone | 734-242-4848
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Fax | 734-242-2007
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Provider Business Mailing Address
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Address Line | 1215 N TELEGRAPH RD
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City | MONROE
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State | MI
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Zip | 48162-3368
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Country | US
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Telephone | 734-242-4848
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Fax | 734-242-2007
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SUSAN STODDARD
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Credential |
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Telephone | 734-242-4848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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