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General NPI Number Information
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NPI Number | 1699324731
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Entity Type | Organization
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Legal Business Name | SACRED HEART REHABILITATION CENTER
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 1504 E GREIG AVE
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-3826
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Country | US
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Telephone | 248-658-1116
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Fax |
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Provider Business Mailing Address
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Address Line | 400 STODDARD RD
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City | RICHMOND
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State | MI
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Zip | 48062-2505
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Country | US
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Telephone | 810-392-2167
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Fax |
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Authorized Official
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Title or Position | ADMIN ASST
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Name | TAMMY MURRAY
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Credential |
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Telephone | 810-392-2167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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