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General NPI Number Information
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NPI Number | 1295965911
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Entity Type | Organization
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Legal Business Name | THERACARE REHAB LLC
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Dates
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Enumeration Date | 07/15/2009
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 7851 SPRING ARBOR RD STE 24
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City | SPRING ARBOR
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State | MI
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Zip | 49283-9503
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Country | US
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Telephone | 517-750-4360
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Fax | 517-750-4364
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Provider Business Mailing Address
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Address Line | 43607 LANCASTER CT
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City | CANTON
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State | MI
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Zip | 48187-2230
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Country | US
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Telephone | 517-750-4360
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Fax | 734-844-1471
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHAMU PADMANABHAN
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Credential | BS
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Telephone | 734-658-8482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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