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General NPI Number Information
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NPI Number | 1740677236
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC TEAM REHABILITATION LLC
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 10/14/2019
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Provider Practice Location Address
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Address Line | 28001 SCHOENHERR RD STE 6
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City | WARREN
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State | MI
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Zip | 48088-4396
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Country | US
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Telephone | 586-999-8330
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Fax | 586-999-8331
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Provider Business Mailing Address
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Address Line | 28001 SCHOENHERR RD STE 6
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City | WARREN
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State | MI
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Zip | 48088-4396
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Country | US
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Telephone | 586-999-8330
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Fax | 586-999-8331
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | JACQUELINE A CIOTTI
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Credential |
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Telephone | 586-999-8330
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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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