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General NPI Number Information
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NPI Number | 1184181042
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Entity Type | Organization
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Legal Business Name | STRIVE RECREATIONAL THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 02/27/2019
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Last Update Date | 02/27/2019
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Provider Practice Location Address
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Address Line | 6751 DIXIE HWY STE 113
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City | CLARKSTON
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State | MI
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Zip | 48346-2080
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Country | US
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Telephone | 248-922-1236
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Fax | 248-922-1235
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Provider Business Mailing Address
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Address Line | 7111 DIXIE HWY # 123
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City | CLARKSTON
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State | MI
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Zip | 48346-2077
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Country | US
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Telephone | 248-922-1236
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Fax | 248-922-1235
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Authorized Official
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Title or Position | PRESIDENT
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Name | STELLA ARZADON HUSCH
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Credential | CTRS
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Telephone | 248-922-1236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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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 | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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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 | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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