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General NPI Number Information
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NPI Number | 1811020035
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Entity Type | Organization
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Legal Business Name | METROPOLITAN REHABILITATION CLINICS, INC.
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 20820 GREENFIELD RD STE 100
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City | OAK PARK
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State | MI
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Zip | 48237-3051
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Country | US
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Telephone | 248-967-4310
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Fax | 248-967-4301
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Provider Business Mailing Address
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Address Line | 20820 GREENFIELD RD STE 100
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City | OAK PARK
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State | MI
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Zip | 48237-3051
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Country | US
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Telephone | 248-967-4310
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Fax | 248-967-4301
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMMAR MEHDI KHAN
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Credential | JD
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Telephone | 248-967-4310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 630417
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 630417
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 630417
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 4301037643
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 630417
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6804086872
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 630417
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License Number State | MI
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Taxonomy #8
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number | 630417
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License Number State | MI
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