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General NPI Number Information
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NPI Number | 1851345441
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Entity Type | Organization
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Legal Business Name | REHAB DIMENSIONS
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 03/10/2016
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Provider Practice Location Address
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Address Line | 2100 RAYBROOK ST SE SUITE 300
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-7759
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Country | US
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Telephone | 616-235-5000
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Fax | 616-235-5059
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Provider Business Mailing Address
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Address Line | 2100 RAYBROOK ST SE SUITE 300
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-7759
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Country | US
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Telephone | 616-235-5000
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Fax | 616-235-5059
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Authorized Official
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Title or Position | CFO
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Name | MR. DAVID TIESENGA
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Credential |
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Telephone | 616-235-5035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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