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General NPI Number Information
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NPI Number | 1114347465
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Entity Type | Organization
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Legal Business Name | REHAB MANAGEMENT LLC
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Dates
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Enumeration Date | 04/24/2014
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 370 E VIRGINIA AVE
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City | PHOENIX
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State | AZ
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Zip | 85004-1214
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Country | US
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Telephone | 480-206-6240
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Fax |
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Provider Business Mailing Address
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Address Line | 370 E VIRGINIA AVE
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City | PHOENIX
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State | AZ
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Zip | 85004-1214
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | CARY EDGAR
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Credential |
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Telephone | 480-206-6240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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