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General NPI Number Information
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NPI Number | 1487654547
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Entity Type | Organization
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Legal Business Name | TENDERCARE MICHIGAN INC
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 05/18/2010
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Provider Practice Location Address
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Address Line | 555 N BRADLEY HWY SUITE C
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City | ROGERS CITY
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State | MI
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Zip | 49779-1539
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Country | US
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Telephone | 989-734-7948
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Fax | 989-734-7648
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Provider Business Mailing Address
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Address Line | 555 N BRADLEY HWY SUITE C
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City | ROGERS CITY
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State | MI
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Zip | 49779-1539
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Country | US
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Telephone | 989-734-7948
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Fax | 989-734-7648
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. JOYAL PAVEY
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Credential |
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Telephone | 989-734-7545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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