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General NPI Number Information
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NPI Number | 1649204843
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Entity Type | Organization
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Legal Business Name | CORA HEALTH SERVICES INC
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1032 S LINDEN ROAD
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City | FLINT
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State | MI
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Zip | 48532
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Country | US
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Telephone | 810-733-3833
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Fax | 810-733-1072
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Provider Business Mailing Address
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Address Line | 1110 SHAWNEE ROAD
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City | LIMA
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State | OH
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Zip | 45805
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Country | US
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Telephone | 419-221-6712
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Fax | 419-222-0507
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | MR. BRAD C ROUSH
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Credential |
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Telephone | 419-221-6712
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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 |
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License Number State |
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