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General NPI Number Information
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NPI Number | 1023071099
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Entity Type | Organization
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Legal Business Name | MEDICAL REHAB SUPPLY, INC
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 04/02/2018
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Provider Practice Location Address
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Address Line | 3636 CAMINO DEL RIO N STE 150
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City | SAN DIEGO
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State | CA
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Zip | 92108-1709
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Country | US
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Telephone | 844-285-1135
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Fax | 800-693-5073
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Provider Business Mailing Address
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Address Line | 3636 CAMINO DEL RIO N STE 150
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City | SAN DIEGO
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State | CA
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Zip | 92108-1709
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Country | US
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Telephone | 844-285-1135
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Fax | 800-693-5073
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Authorized Official
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Title or Position | OWNER
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Name | LETTICIA A ENGLEMAN
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Credential |
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Telephone | 844-285-1135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0013103
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0068028
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License Number State | TX
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