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General NPI Number Information
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NPI Number | 1629617832
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Entity Type | Organization
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Legal Business Name | BLOOMFIELD HAND THERAPY PC
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Dates
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Enumeration Date | 01/06/2020
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 1349 S ROCHESTER RD STE 215
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-3152
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Country | US
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Telephone | 586-350-2644
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Fax | 586-541-3735
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Provider Business Mailing Address
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Address Line | 33900 HARPER AVE STE 104
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City | CLINTON TWP
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State | MI
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Zip | 48035-4258
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Country | US
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Telephone | 586-350-2644
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL QUINN
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Credential | MD
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Telephone | 586-350-2644
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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 |
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License Number State |
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