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General NPI Number Information
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NPI Number | 1699070250
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Entity Type | Organization
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Legal Business Name | AMERICAN HEADACHE INSTITUTE LLC
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Dates
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Enumeration Date | 01/12/2011
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Last Update Date | 08/22/2011
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Provider Practice Location Address
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Address Line | 876 S ROCHESTER RD
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-2740
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Country | US
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Telephone | 248-601-9207
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Fax |
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Provider Business Mailing Address
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Address Line | 878 S ROCHESTER RD
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-2740
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Country | US
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Telephone | 248-601-9207
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Fax | 248-650-8670
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Authorized Official
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Title or Position | VP ADMINISTRATION
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Name | CATHERINE IRELAND
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Credential |
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Telephone | 248-601-9207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | MI
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