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General NPI Number Information
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NPI Number | 1407284219
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Entity Type | Organization
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Legal Business Name | RHETT ENTERPRISES, INC.
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Dates
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Enumeration Date | 10/15/2013
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Last Update Date | 04/27/2016
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Provider Practice Location Address
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Address Line | 29200 SOUTHFIELD RD SUITE 102A
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City | SOUTHFIELD
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State | MI
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Zip | 48076-1906
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Country | US
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Telephone | 248-552-1111
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Fax | 248-552-1114
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Provider Business Mailing Address
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Address Line | 29200 SOUTHFIELD RD SUITE 102A
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City | SOUTHFIELD
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State | MI
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Zip | 48076-1906
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Country | US
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Telephone | 248-552-1111
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Fax | 248-552-1114
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ELAINE HIBLER
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Credential |
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Telephone | 248-552-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State | MI
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