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General NPI Number Information
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NPI Number | 1770035321
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Entity Type | Organization
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Legal Business Name | CHAR COMBS REHABILITATION AND CONSULTATION SERVICES INC
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Dates
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Enumeration Date | 10/31/2016
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Last Update Date | 10/31/2016
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Provider Practice Location Address
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Address Line | 14229 TORREY RD SUITE 3
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City | FENTON
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State | MI
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Zip | 48430-3308
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Country | US
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Telephone | 810-208-7889
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Fax | 810-354-8191
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Provider Business Mailing Address
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Address Line | 2398 GROVE PARK RD
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City | FENTON
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State | MI
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Zip | 48430-1442
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Country | US
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Telephone | 810-208-7889
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Fax | 810-354-8191
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHAR COMBS
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Credential | OTR/L
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Telephone | 810-444-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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