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General NPI Number Information
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NPI Number | 1730397597
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Entity Type | Organization
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Legal Business Name | AMERICARE REHAB
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 29215 FORD RD
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City | GARDEN CITY
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State | MI
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Zip | 48135-2849
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Country | US
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Telephone | 734-261-1970
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Fax | 734-261-1999
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Provider Business Mailing Address
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Address Line | 29215 FORD RD
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City | GARDEN CITY
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State | MI
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Zip | 48135-2849
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Country | US
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Telephone | 734-261-1970
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Fax | 734-261-1999
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Authorized Official
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Title or Position | PRESIDENT
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Name | FERMAISH ALI
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Credential | ASSOSIATE
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Telephone | 248-773-2226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 236793
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License Number State | WI
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