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General NPI Number Information
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NPI Number | 1013836998
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Entity Type | Organization
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Legal Business Name | MOWERY REHAB CONSULTANTS, PA
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 6100 E CENTRAL AVE
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City | WICHITA
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State | KS
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Zip | 67208-4244
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Country | US
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Telephone | 913-229-4429
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Fax |
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Provider Business Mailing Address
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Address Line | 1714 CANTERBURY RD
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City | RALEIGH
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State | NC
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Zip | 27608-1110
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARC DOUEK
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Credential | MPT
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Telephone | 919-327-7697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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