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General NPI Number Information
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NPI Number | 1871319723
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Entity Type | Organization
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Legal Business Name | MERGER REHAB CASE MANAGEMENT
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 995 N PONTIAC TRL UNIT 58
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City | WALLED LAKE
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State | MI
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Zip | 48390-7002
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Country | US
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Telephone | 248-719-4608
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Fax | 866-620-1406
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Provider Business Mailing Address
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Address Line | 995 N PONTIAC TRL UNIT 58
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City | WALLED LAKE
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State | MI
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Zip | 48390-7002
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Country | US
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Telephone | 248-719-4608
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Fax | 866-620-1406
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Authorized Official
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Title or Position | OWNER
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Name | CHANTELLE RITCHIE
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Credential |
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Telephone | 248-719-4608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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