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General NPI Number Information
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NPI Number | 1447917547
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Entity Type | Organization
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Legal Business Name | DMC REGIONAL REHABILITATION CENTER CO
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Dates
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Enumeration Date | 11/23/2021
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Last Update Date | 12/08/2021
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Provider Practice Location Address
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Address Line | 18000 W 9 MILE RD # 395
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4009
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Country | US
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Telephone | 248-910-1872
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Fax |
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Provider Business Mailing Address
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Address Line | 24515 KINGS POINTE
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City | NOVI
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State | MI
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Zip | 48375-2715
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Country | US
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Telephone | 248-910-1872
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SNEHALBEN CHAUDHARI
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Credential | PT
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Telephone | 248-910-1872
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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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