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General NPI Number Information
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NPI Number | 1720532443
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE HAND & REHABILITATION, LLC
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Dates
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Enumeration Date | 08/10/2016
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 5160 GOTFREDSON RD
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City | PLYMOUTH
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State | MI
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Zip | 48170-5019
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Country | US
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Telephone | 248-885-2038
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Fax |
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Provider Business Mailing Address
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Address Line | 42869 WOODWARD AVE
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-5036
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Country | US
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Telephone | 248-952-9180
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Fax | 248-952-9185
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Authorized Official
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Title or Position | MANAGER
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Name | LISA M GOBLE
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Credential | CHT
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Telephone | 248-885-2308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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