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General NPI Number Information
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NPI Number | 1174720197
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Entity Type | Organization
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Legal Business Name | DAVIN REHAB SERVICES.INC
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18161 W 13 MILE RD SUIT A-2
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City | SOUTHFIELD
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State | MI
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Zip | 48076-1113
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Country | US
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Telephone | 248-819-6413
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Fax | 734-556-1530
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Provider Business Mailing Address
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Address Line | 18161 W 13MILE ROAD SUIT A-2
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City | SOUTHFIELD
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State | MI
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Zip | 48076
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Country | US
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Telephone | 248-819-6413
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Fax | 734-556-1530
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Authorized Official
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Title or Position | PRESIDENT
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Name | VINCY DAVIS
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Credential | RPT
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Telephone | 734-789-9640
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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 | L9333060
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License Number State | MI
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