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General NPI Number Information
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NPI Number | 1396817771
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Entity Type | Organization
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Legal Business Name | QUALITY CARE REHABILITATION PROFESSIONALS, INC
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 15023 21 MILE RD
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48315
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Country | US
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Telephone | 586-286-9644
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Fax | 586-286-9647
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Provider Business Mailing Address
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Address Line | 15023 21 MILE RD
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48315-5024
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Country | US
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Telephone | 586-286-9644
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Fax | 586-286-9647
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Authorized Official
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Title or Position | CEO
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Name | MS. TATJANA T SAVICH
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Credential | DHA, OTRL
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Telephone | 586-286-9644
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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 | 5201003790
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License Number State | MI
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