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General NPI Number Information
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NPI Number | 1164989422
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Entity Type | Organization
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Legal Business Name | ALL IN ONE THERAPY
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 02/22/2019
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Provider Practice Location Address
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Address Line | 29688 TELEGRAPH RD STE 400
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1364
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Country | US
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Telephone | 248-884-0048
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Fax |
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Provider Business Mailing Address
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Address Line | 29688 TELEGRAPH RD STE 400
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1364
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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 | CEO
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Name | MRS. AMY REZVAN
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Credential |
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Telephone | 248-884-0048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage 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 | 225XM0800X
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Taxonomy Name | Mental Health 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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Taxonomy #4
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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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