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General NPI Number Information
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NPI Number | 1255829172
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Entity Type | Organization
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Legal Business Name | LAHSER HILLS CARE CENTER
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 25300 LAHSER RD
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City | SOUTHFIELD
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State | MI
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Zip | 48033-5868
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Country | US
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Telephone | 248-354-3222
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Fax | 248-354-8383
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Provider Business Mailing Address
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Address Line | 25300 LAHSER RD
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City | SOUTHFIELD
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State | MI
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Zip | 48033-5868
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Country | US
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Telephone | 248-354-3222
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Fax | 248-354-8383
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | RAYMOND RACPAN LIM
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Credential |
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Telephone | 248-354-3222
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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 | 5501004569
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License Number State | MI
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