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General NPI Number Information
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NPI Number | 1801308788
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Entity Type | Organization
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Legal Business Name | MICHIGAN ABILITIES CENTER PHYSICAL MEDICINE AND REHABILITATION PLLC
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Dates
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Enumeration Date | 10/31/2017
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Last Update Date | 12/10/2019
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Provider Practice Location Address
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Address Line | 34020 7 MILE RD STE 102
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City | LIVONIA
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State | MI
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Zip | 48152-3093
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Country | US
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Telephone | 734-622-9500
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Fax | 734-622-9555
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Provider Business Mailing Address
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Address Line | 7285 W ELLSWORTH RD
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City | ANN ARBOR
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State | MI
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Zip | 48103-9277
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Country | US
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Telephone | 734-622-9500
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Fax | 734-622-9555
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN RUSSELL HINDERER
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Credential | MD
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Telephone | 734-622-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 4301052044
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License Number State | MI
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