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General NPI Number Information
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NPI Number | 1003946013
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Entity Type | Organization
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Legal Business Name | REMOBILITY, INC.
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 09/16/2011
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Provider Practice Location Address
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Address Line | 3901 ROSWELL RD SUITE 100A
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City | MARIETTA
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State | GA
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Zip | 30062-8811
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Country | US
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Telephone | 770-578-4343
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Fax | 770-578-4342
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Provider Business Mailing Address
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Address Line | 3901 ROSWELL RD. SUITE 100A
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City | MARIETTA
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State | GA
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Zip | 30062-8811
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Country | US
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Telephone | 770-578-4343
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Fax | 770-578-4342
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Authorized Official
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Title or Position | CLINIC DIRECTOR/ OWNER
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Name | MR. N ROEL FUNG-A-WING
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Credential | PT
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Telephone | 770-578-4343
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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 | 3341
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 74893
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License Number State | GA
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