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General NPI Number Information
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NPI Number | 1275710725
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Entity Type | Organization
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Legal Business Name | A ONE MICHIGAN REHAB P.C.
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 18161 E 8 MILE RD
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City | EASTPOINTE
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State | MI
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Zip | 48021-3219
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Country | US
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Telephone | 586-498-7100
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Fax | 586-498-7101
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Provider Business Mailing Address
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Address Line | 18161 E 8 MILE RD
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City | EASTPOINTE
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State | MI
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Zip | 48021-3219
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Country | US
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Telephone | 586-498-7100
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Fax | 586-498-7101
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VAQAR KHALIP SIDDIQUI
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Credential | M.D
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Telephone | 586-498-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 430-1068827
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License Number State | MI
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