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General NPI Number Information
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NPI Number | 1174698336
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Entity Type | Organization
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Legal Business Name | MEDICAL REHABILITATION PHYSICIANS PLC
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 2935 HEALTH PARKWAY
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City | MT PLEASANT
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State | MI
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Zip | 48858
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Country | US
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Telephone | 989-772-1609
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Fax | 989-773-6279
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Provider Business Mailing Address
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Address Line | 2935 HEALTH PARKWAY
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City | MT PLEASANT
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State | MI
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Zip | 48858
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Country | US
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Telephone | 989-772-1609
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Fax | 989-773-6279
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MARVIN N BLEIBERG
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Credential | M.D.
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Telephone | 989-772-1609
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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 | MI
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | MB009073
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | MB064477
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | HR077496
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MB064477
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License Number State | MI
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