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General NPI Number Information
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NPI Number | 1073708731
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Entity Type | Organization
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Legal Business Name | ROSALEE REHRIG D.O., P.C.
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 06/23/2011
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Provider Practice Location Address
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Address Line | 1976 W PENN PIKE
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City | NEW RINGGOLD
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State | PA
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Zip | 17960-9396
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Country | US
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Telephone | 570-386-8861
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Fax | 570-386-8862
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Provider Business Mailing Address
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Address Line | 1976 W PENN PIKE
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City | NEW RINGGOLD
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State | PA
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Zip | 17960-9396
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Country | US
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Telephone | 570-386-8861
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Fax | 570-386-8862
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Authorized Official
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Title or Position | OFICE MANAGER
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Name | MRS. AMANDA J KUHN
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Credential |
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Telephone | 570-386-8861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS 011171-L
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License Number State | PA
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