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General NPI Number Information
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NPI Number | 1508073826
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Entity Type | Organization
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Legal Business Name | GREAT AMERICAN REHABILITATION AND PHYSICAL THERAPY CENTER, INC.
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3800 WOODWARD AVE SUITE 510
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City | DETROIT
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State | MI
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Zip | 48201-2061
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Country | US
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Telephone | 734-282-2201
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Fax | 734-282-2520
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Provider Business Mailing Address
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Address Line | 3800 WOODWARD AVE SUITE 510
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City | DETROIT
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State | MI
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Zip | 48201-2061
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Country | US
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Telephone | 734-282-2201
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Fax | 734-282-2520
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Authorized Official
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Title or Position | OWNER ADMINISTRATOR
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Name | AKHTAR QUAZI
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Credential |
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Telephone | 734-282-2201
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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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