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General NPI Number Information
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NPI Number | 1356307052
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Entity Type | Individual
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Provider Name | MARVIN N BLEIBERG MD
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Gender | Male
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Dates
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Enumeration Date | 04/22/2006
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 2935 HEALTH PKWY
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-8931
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Country | US
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Telephone | 989-772-1609
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Fax | 989-773-6279
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Provider Business Mailing Address
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Address Line | 2935 HEALTH PKWY
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-8931
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Country | US
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Telephone | 989-772-1609
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Fax | 989-773-6279
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 4301064477
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 4301064477
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License Number State | MI
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