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General NPI Number Information
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NPI Number | 1053528521
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Entity Type | Individual
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Provider Name | CHRIS WILLIAM REHM RDO
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 11/11/2008
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Provider Practice Location Address
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Address Line | 526 E PERKINS ST
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City | UKIAH
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State | CA
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Zip | 95482-4509
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Country | US
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Telephone | 707-463-2020
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Fax | 707-468-5675
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Provider Business Mailing Address
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Address Line | 526 E PERKINS ST
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City | UKIAH
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State | CA
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Zip | 95482-4509
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Country | US
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Telephone | 707-463-2020
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Fax | 707-468-5675
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | SL561 CL4021
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License Number State | CA
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