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General NPI Number Information
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NPI Number | 1437338902
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Entity Type | Organization
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Legal Business Name | MICHIGAN HEALTH & REHAB INC
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 5598 N ORANGE BLOSSOM TRL
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City | ORLANDO
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State | FL
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Zip | 32810-1033
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Country | US
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Telephone | 407-373-6812
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Fax |
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Provider Business Mailing Address
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Address Line | 5598 N ORANGE BLOSSOM TRL
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City | ORLANDO
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State | FL
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Zip | 32810-1033
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Country | US
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Telephone | 407-373-6812
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARC MAXIS IV
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Credential |
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Telephone | 407-556-4901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273100000X
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Taxonomy Name | Epilepsy Hospital Unit
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License Number | HCC7826
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License Number State | FL
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