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General NPI Number Information
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NPI Number | 1871914499
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Entity Type | Organization
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Legal Business Name | REHABILITATION ASSOCIATES OF MICHIGAN PC
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Dates
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Enumeration Date | 12/27/2013
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 21619 JOHN R RD
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City | HAZEL PARK
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State | MI
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Zip | 48030-2014
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Country | US
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Telephone | 248-556-5348
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Fax | 248-556-5793
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Provider Business Mailing Address
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Address Line | 21619 JOHN R RD
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City | HAZEL PARK
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State | MI
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Zip | 48030-2014
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Country | US
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Telephone | 248-556-5348
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Fax | 248-556-5793
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Authorized Official
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Title or Position | OWNER
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Name | MUHAMMAD A ALAM
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Credential | P.T.
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Telephone | 248-819-2438
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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 |
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