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General NPI Number Information
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NPI Number | 1881144830
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS REHABILITATION SERVICES, INC
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 10445 DIXIE HWY
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City | DAVISBURG
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State | MI
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Zip | 48350-1308
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Country | US
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Telephone | 248-625-0808
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Fax | 248-625-1827
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Provider Business Mailing Address
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Address Line | 1814 POND RUN
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City | AUBURN HILLS
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State | MI
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Zip | 48326-2768
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Country | US
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Telephone | 248-340-0559
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Fax | 248-724-0483
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Authorized Official
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Title or Position | DATABASE ADMINISTRATOR
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Name | KIMBERLY SMITH
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Credential |
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Telephone | 248-340-0559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | MI
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