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General NPI Number Information
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NPI Number | 1740298702
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Entity Type | Organization
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Legal Business Name | BAUER REHABILITATION SERVICES LLC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 02/24/2009
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Provider Practice Location Address
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Address Line | 2203 CANDLESTICK LN
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City | MIDLAND
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State | MI
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Zip | 48642-3165
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Country | US
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Telephone | 989-430-9457
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Fax |
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Provider Business Mailing Address
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Address Line | 2203 CANDLESTICK LN
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City | MIDLAND
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State | MI
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Zip | 48642-3165
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAMELA BAUER
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Credential |
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Telephone | 989-430-9457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201004579
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501010076
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License Number State | MI
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