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General NPI Number Information
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NPI Number | 1063358398
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Entity Type | Organization
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Legal Business Name | REBUILD HEALTHCARE LLC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 7 WHITTIER PL STE 108
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City | BOSTON
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State | MA
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Zip | 02114-1408
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Country | US
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Telephone | 617-333-8428
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Fax | 877-497-2553
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Provider Business Mailing Address
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Address Line | 1151 WALKER RD STE 100
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City | DOVER
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State | DE
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Zip | 19904-6600
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Country | US
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Telephone | 617-333-8428
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Fax | 877-497-2553
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. EZIOMA GBUJIE
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Credential | MD
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Telephone | 617-333-8428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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