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General NPI Number Information
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NPI Number | 1437674090
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Entity Type | Organization
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Legal Business Name | MEDICAL REHABILITATION PHYSICIANS PLC
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 5059 OLD 27 S
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City | GAYLORD
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State | MI
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Zip | 49735-9590
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Country | US
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Telephone | 989-705-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 2480 W CAMPUS DR STE 500
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City | MT PLEASANT
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State | MI
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Zip | 48858-5414
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Country | US
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Telephone | 989-772-1609
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Fax | 989-773-6279
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MARVIN BLEIBERG
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Credential | MD
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Telephone | 989-772-1609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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