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NPI 1033845193

NPI 1033845193 : PHOENIX REHABILITATION AND HEALTH SERVICES OF DELAWARE INC : OCEAN VIEW, DE

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General NPI Number Information
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    NPI Number           |    1033845193
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    Entity Type          |    Organization 
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    Legal Business Name  |    PHOENIX REHABILITATION AND HEALTH SERVICES OF DELAWARE INC 
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Dates
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    Enumeration Date     |    07/29/2022
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    Last Update Date     |    02/26/2025
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Provider Practice Location Address
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    Address Line         |    111 ATLANTIC AVE STE 1 
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    City                 |    OCEAN VIEW
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    State                |    DE
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    Zip                  |    19970-9166
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    Country              |    US
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    Telephone            |    302-829-8508
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    Fax                  |    302-829-8521
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Provider Business Mailing Address
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    Address Line         |    PO BOX 392573 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15251-9573
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    Country              |    US
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    Telephone            |    724-343-4060
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR, RCM SUPPORT
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    Name                 |     ERIN  MCKINNEY 
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    Credential           |    
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    Telephone            |    412-339-1063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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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       |    
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    License Number State |    
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