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General NPI Number Information
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NPI Number | 1720768492
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Entity Type | Organization
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Legal Business Name | RITE WAY REHAB OF SOUTHFIELD INC
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 18311 W 10 MILE RD STE 102
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2623
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Country | US
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Telephone | 248-864-8283
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Fax | 248-864-8287
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Provider Business Mailing Address
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Address Line | 18311 W 10 MILE RD STE 102
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2623
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Country | US
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Telephone | 248-864-8283
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Fax | 248-864-8287
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Authorized Official
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Title or Position | MANAGEMENT
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Name | NARJIS ISMAIL
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Credential |
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Telephone | 313-590-1344
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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 |
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License Number State |
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