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General NPI Number Information
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NPI Number | 1730588997
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Entity Type | Organization
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Legal Business Name | MAYAS REHAB & PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 08/13/2014
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Last Update Date | 11/19/2014
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Provider Practice Location Address
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Address Line | 11843 JOSEPH CAMPAU ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-3053
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Country | US
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Telephone | 313-826-1835
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Fax | 313-826-1958
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Provider Business Mailing Address
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Address Line | 11843 JOSEPH CAMPAU ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-3053
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Country | US
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Telephone | 313-826-1835
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Fax | 313-826-1958
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE RAYES
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Credential |
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Telephone | 313-826-1835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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