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General NPI Number Information
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NPI Number | 1558433136
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Entity Type | Organization
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Legal Business Name | REHABILITATION ASSOCIATES OF MIDMICHIGAN P L C
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 06/27/2013
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Provider Practice Location Address
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Address Line | 555 W WACKERLY ST #3825
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City | MIDLAND
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State | MI
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Zip | 48640-4722
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Country | US
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Telephone | 989-631-9267
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Fax | 989-839-0629
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Provider Business Mailing Address
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Address Line | 555 W WACKERLY ST #3825
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City | MIDLAND
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State | MI
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Zip | 48640-4722
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Country | US
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Telephone | 989-631-9267
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Fax | 989-839-0629
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Authorized Official
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Title or Position | OWNER
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Name | JOHN A SZAJENKO
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Credential | M D
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Telephone | 989-631-9267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | MI
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