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General NPI Number Information
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NPI Number | 1043017734
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Entity Type | Organization
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Legal Business Name | REHABTRONIX LLC
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 6203 SAN IGNACIO AVE STE 110
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City | SAN JOSE
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State | CA
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Zip | 95119-1358
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Country | US
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Telephone | 626-615-0378
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Fax |
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Provider Business Mailing Address
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Address Line | 96 SOUTHPORT CT
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City | SAN JOSE
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State | CA
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Zip | 95138-1821
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Country | US
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Telephone | 702-289-9797
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. SAINT DON NIEL BAUTISTA REYES
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Credential | PT
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Telephone | 702-289-9797
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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