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General NPI Number Information
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NPI Number | 1811128176
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Entity Type | Organization
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Legal Business Name | RITECARE, LLC.
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Dates
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Enumeration Date | 08/05/2009
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Last Update Date | 08/05/2009
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Provider Practice Location Address
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Address Line | 769 S WAYNE RD
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City | WESTLAND
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State | MI
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Zip | 48186-4364
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Country | US
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Telephone | 734-398-3140
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Fax | 734-398-3141
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Provider Business Mailing Address
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Address Line | 17940 FARMINGTON RD SUITE 301
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City | LIVONIA
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State | MI
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Zip | 48152-4444
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Country | US
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Telephone | 734-462-1967
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Fax | 734-462-1971
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Authorized Official
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Title or Position | DIRECTOR
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Name | ALEJANDRO HABER
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Credential |
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Telephone | 734-462-1967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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