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General NPI Number Information
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NPI Number | 1558559831
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Entity Type | Organization
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Legal Business Name | S & S PROFESSIONALS, LLC
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 06/10/2010
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Provider Practice Location Address
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Address Line | 42536 HAYES RD SUITE 300
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-6766
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Country | US
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Telephone | 586-286-9644
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Fax | 586-286-9647
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Provider Business Mailing Address
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Address Line | 42536 HAYES RD SUITE 300
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-6766
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Country | US
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Telephone | 586-286-9644
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Fax | 586-286-9647
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. TATJANA TINA SAVICH
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Credential | MSA,OTR
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Telephone | 586-286-9644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 894907
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 926853
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License Number State | MI
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