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General NPI Number Information
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NPI Number | 1649136268
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Entity Type | Organization
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Legal Business Name | COREFUSION, LLC.
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 21780 W 11 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48076-3718
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Country | US
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Telephone | 248-943-3632
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Fax |
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Provider Business Mailing Address
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Address Line | 6964 CARLYLE XING
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3082
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Country | US
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Telephone | 248-943-3632
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Fax | 248-943-3632
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Authorized Official
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Title or Position | OWNER
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Name | CANDICE ZEER
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Credential |
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Telephone | 248-943-3632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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