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General NPI Number Information
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NPI Number | 1437142783
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Entity Type | Organization
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Legal Business Name | COMPLETE REHAB LLC
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 08/22/2018
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Provider Practice Location Address
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Address Line | 16655 15 MILE RD SUITE B
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48035
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Country | US
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Telephone | 586-792-0970
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Fax |
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Provider Business Mailing Address
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Address Line | 1380 COOLIDGE HWY STE L50
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City | TROY
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State | MI
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Zip | 48084-7069
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Country | US
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Telephone | 248-649-3755
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Fax |
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Authorized Official
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Title or Position | CCO
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Name | ALI M RATHUR
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Credential |
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Telephone | 248-649-3755
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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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