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General NPI Number Information
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NPI Number | 1437273877
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Entity Type | Organization
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Legal Business Name | NORTHWOODS REHABILITATION INC.
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 11/04/2011
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Provider Practice Location Address
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Address Line | 2001 MINNEAPOLIS AVE SUITE C
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City | GLADSTONE
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State | MI
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Zip | 49837
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Country | US
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Telephone | 906-428-3085
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 MINNEAPOLIS AVE. SUITE C
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City | GLADSTONE
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State | MI
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Zip | 49837
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Country | US
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Telephone | 906-428-3085
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Fax | 906-428-3086
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Authorized Official
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Title or Position | OWNER
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Name | DAN HOWES
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Credential | PT
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Telephone | 906-428-3085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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