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NPI 1417737461

NPI 1417737461 : ALLIANCE REHAB TEAM LIMITED LIABILITY COMPANY : TAYLOR, MI

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General NPI Number Information
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    NPI Number           |    1417737461
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLIANCE REHAB TEAM LIMITED LIABILITY COMPANY 
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Dates
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    Enumeration Date     |    10/05/2023
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    Last Update Date     |    10/05/2023
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Provider Practice Location Address
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    Address Line         |    13750 PARDEE RD 
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    City                 |    TAYLOR
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    State                |    MI
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    Zip                  |    48180
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    Country              |    US
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    Telephone            |    810-434-6918
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13750 PARDEE RD 
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    City                 |    TAYLOR
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    State                |    MI
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    Zip                  |    48180
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    Country              |    US
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    Telephone            |    810-434-6918
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/ADMINISTRATOR
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    Name                 |     JAMES  JONES 
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    Credential           |    
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    Telephone            |    810-434-6918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0400X
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    Taxonomy Name        |    Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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