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General NPI Number Information
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NPI Number | 1760437594
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Entity Type | Organization
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Legal Business Name | HEARTLAND REHABILITATION SERVICES OF MICHIGAN, LLC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 04/30/2015
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Provider Practice Location Address
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Address Line | 33887 5 MILE RD
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City | LIVONIA
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State | MI
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Zip | 48154-2601
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Country | US
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Telephone | 734-425-5414
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Fax | 734-425-5174
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Provider Business Mailing Address
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Address Line | 333 N SUMMIT ST 7TH FLOOR
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City | TOLEDO
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State | OH
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Zip | 43604-2615
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Country | US
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Telephone | 419-252-5909
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Fax | 419-537-0948
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Authorized Official
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Title or Position | VICE PRESIDENT-REIMBURSEMENT
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Name | MR. BARRY A. LAZARUS
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Credential |
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Telephone | 419-252-5541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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