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General NPI Number Information
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NPI Number | 1710229554
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Entity Type | Organization
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Legal Business Name | EXCELLENT REHAB SERVICES, INC
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Dates
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Enumeration Date | 03/19/2013
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Last Update Date | 03/19/2013
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Provider Practice Location Address
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Address Line | 28270 FRANKLIN RD SUITE 1-A
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1659
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Country | US
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Telephone | 248-979-4953
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Fax | 248-786-5383
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Provider Business Mailing Address
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Address Line | 7254 SILVER LEAF LN
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3330
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Country | US
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Telephone | 248-979-4953
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Fax | 248-786-5383
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Authorized Official
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Title or Position | PRESIDENT
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Name | MUHAMMAD BILAL RIZWAN
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Credential | RPT
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Telephone | 248-979-4953
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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 | 5501012395
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License Number State | MI
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