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General NPI Number Information
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NPI Number | 1295229813
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Entity Type | Organization
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Legal Business Name | HQ OF LAPEER LLC
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 06/18/2018
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Provider Practice Location Address
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Address Line | 411 W NEPESSING ST
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City | LAPEER
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State | MI
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Zip | 48446-2106
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Country | US
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Telephone | 810-206-2200
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Fax | 810-250-7000
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Provider Business Mailing Address
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Address Line | 1773 STAR BATT DR
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-3708
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Country | US
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Telephone | 248-601-9207
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Fax | 248-650-8670
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Authorized Official
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Title or Position | VICE PRESIDENT OF OPERATIONS
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Name | EMILY LISA-MARIE HESS
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Credential |
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Telephone | 248-601-9207
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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 |
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License Number State |
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