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NPI Code Detail

MEDICARE: REBECCA TAUBE LLMSW

MEDICARE: REBECCA TAUBE LLMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator6801096458MI

General Provider Information

NPI Number : 1164810529
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA TAUBE LLMSW
Provider Business Mailing Address
First Line : 585 JEWETT RD
Second Line :
City : MASON
State : MI
Zip : 48854-8729
Country : US
Telephone Number : 517-676-5405
Fax Number :
Provider Business Practice Location Address
First Line : 38271 MOUND RD
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48310-3401
Country : US
Telephone Number : 586-477-2054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2015
Last Update Date : 01/12/2015

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