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General NPI Number Information
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NPI Number | 1407220270
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Entity Type | Organization
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Legal Business Name | TEAM REHABILITATION SERVICES, LLC
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Dates
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Enumeration Date | 11/17/2015
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Last Update Date | 09/10/2021
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Provider Practice Location Address
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Address Line | 33900 HARPER AVE SUITE 104
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48035-4258
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Country | US
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Telephone | 586-416-9100
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Fax | 586-416-9103
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Provider Business Mailing Address
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Address Line | 33900 HARPER AVE SUITE 104
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48035-4258
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Country | US
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Telephone | 586-350-2644
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Fax | 586-541-3735
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Authorized Official
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Title or Position | COO
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Name | ROBERT NICHOLAS WEBER
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Credential | PT
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Telephone | 586-350-2644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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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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