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General NPI Number Information
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NPI Number | 1922293810
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Entity Type | Organization
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Legal Business Name | WEST CENTRAL REHABILITATION , LLC
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 71 BEVIER ST SUITE B
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City | SHELBY
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State | MI
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Zip | 49455-1239
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Country | US
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Telephone | 231-861-2131
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Fax | 231-861-4801
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Provider Business Mailing Address
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Address Line | 71 BEVIER ST SUITE B
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City | SHELBY
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State | MI
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Zip | 49455-1239
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Country | US
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Telephone | 231-861-2131
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Fax | 231-861-4801
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. KATHLEEN A BURMEISTER
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Credential |
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Telephone | 231-861-2131
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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 | MI
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