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General NPI Number Information
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NPI Number | 1437327160
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Entity Type | Organization
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Legal Business Name | ADVANCED REHAB & WELLNESS SERVICES PC
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 31705 PLYMOUTH RD
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City | LIVONIA
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State | MI
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Zip | 48150
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Country | US
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Telephone | 305-316-3724
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Fax |
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Provider Business Mailing Address
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Address Line | 36021 HAZELWOOD ST
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City | WESTLAND
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State | MI
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Zip | 48186-8214
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Country | US
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Telephone | 305-316-3724
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YAMILKA CORTINA
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Credential |
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Telephone | 305-316-3724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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