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General NPI Number Information
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NPI Number | 1295141125
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Entity Type | Organization
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Legal Business Name | WORK REHAB SOLUTIONS
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Dates
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Enumeration Date | 07/11/2014
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Last Update Date | 07/11/2014
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Provider Practice Location Address
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Address Line | 3009 S BALDWIN RD SUITE B
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City | ORION
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State | MI
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Zip | 48359-2362
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Country | US
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Telephone | 248-393-1699
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Fax | 248-393-1711
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Provider Business Mailing Address
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Address Line | 3009 S BALDWIN RD SUITE B
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City | ORION
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State | MI
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Zip | 48359-2362
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Country | US
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Telephone | 248-393-1699
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Fax | 248-393-1711
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Authorized Official
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Title or Position | OWNER
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Name | MR. TODD HAGBERG
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Credential | OTL
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Telephone | 248-393-1699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 5202007762
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License Number State | MI
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