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General NPI Number Information
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NPI Number | 1033326053
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Entity Type | Organization
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Legal Business Name | AMERICAN MEDICAL REHAB, INC.
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4545 SAINT AUGUSTINE RD # 2
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City | JACKSONVILLE
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State | FL
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Zip | 32207-7229
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Country | US
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Telephone | 904-731-0110
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Fax | 904-731-0120
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Provider Business Mailing Address
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Address Line | 4545 SAINT AUGUSTINE RD # 2
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City | JACKSONVILLE
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State | FL
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Zip | 32207-7229
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Country | US
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Telephone | 904-731-0110
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Fax | 904-731-0120
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | HAROLD EPHGRAVE GEAR
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Credential |
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Telephone | 904-731-0110
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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 | 552
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License Number State | FL
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