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General NPI Number Information
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NPI Number | 1528015336
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Entity Type | Organization
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Legal Business Name | UNIVERSITY REHABILITATION ALLIANCE, INC.
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 3181 SANDHILL RD.
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City | MASON
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State | MI
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Zip | 48854
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Country | US
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Telephone | 517-336-6060
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Fax | 517-336-6050
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Provider Business Mailing Address
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Address Line | 3181 SANDHILL RD.
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City | MASON
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State | MI
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Zip | 48854
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Country | US
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Telephone | 517-336-6060
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Fax | 517-336-6050
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. JENNIFER MUCKEY
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Credential | BS, CBIS
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Telephone | 517-455-0265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2081P0301X
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Taxonomy Name | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0301X
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Taxonomy Name | Brain Injury Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | AL330068918
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License Number State | MI
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Taxonomy #8
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | AL30068918
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License Number State | MI
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Taxonomy #9
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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