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General NPI Number Information
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NPI Number | 1548227895
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Entity Type | Organization
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Legal Business Name | SPECIALIST REHAB SERVICES INC.
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 10/23/2012
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Provider Practice Location Address
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Address Line | 6620 HIGHLAND RD SUITE 103
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City | WATERFORD
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State | MI
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Zip | 48327-1682
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Country | US
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Telephone | 248-666-6001
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Fax | 248-666-6009
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Provider Business Mailing Address
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Address Line | 6620 HIGHLAND RD SUITE 103
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City | WATERFORD
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State | MI
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Zip | 48327-1682
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Country | US
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Telephone | 248-666-6001
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Fax | 248-666-6009
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KANTI ARYA
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Credential | OTR
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Telephone | 248-666-6001
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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 | 236799
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License Number State | MI
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