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General NPI Number Information
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NPI Number | 1790219194
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Entity Type | Organization
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Legal Business Name | FOCUS REHAB PC
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Dates
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Enumeration Date | 04/12/2017
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Last Update Date | 02/02/2019
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Provider Practice Location Address
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Address Line | 20905 GREENFIELD RD STE 506
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City | SOUTHFIELD
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State | MI
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Zip | 48075-5351
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Country | US
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Telephone | 248-885-4775
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Fax |
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Provider Business Mailing Address
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Address Line | 1837 SQUIRREL VALLEY DR
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-1145
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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 | ADMINISTRATOR
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Name | ALI R NAQVI
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Credential |
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Telephone | 248-885-4775
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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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