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General NPI Number Information
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NPI Number | 1801700174
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Entity Type | Organization
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Legal Business Name | ECLIPSE REHAB LLC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 1331 E GRAND RIVER AVE STE 203
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City | EAST LANSING
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State | MI
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Zip | 48823-4988
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Country | US
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Telephone | 989-992-1367
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Fax | 989-220-4990
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Provider Business Mailing Address
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Address Line | 3110 OAKBROOK WAY
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City | BAY CITY
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State | MI
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Zip | 48706-4184
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Country | US
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Telephone | 989-992-1367
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Fax | 989-220-4990
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | JEFF ADAM NIEVIEROWSKI
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Credential | PT
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Telephone | 989-992-1367
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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 | NULL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | NULL
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