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General NPI Number Information
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NPI Number | 1124643424
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Entity Type | Organization
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Legal Business Name | ALLIANCE REHABILITATION, LLC
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 6400 MECHANICSVILLE TPKE STE A
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-4579
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Country | US
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Telephone | 804-789-8829
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Fax | 804-789-8873
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Provider Business Mailing Address
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Address Line | PO BOX 744113
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City | ATLANTA
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State | GA
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Zip | 30384-4113
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Country | US
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Telephone | 703-239-2300
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Fax | 703-239-2301
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Authorized Official
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Title or Position | DIRECTOR OF MEDICARE
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Name | TODD SIGMON
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Credential |
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Telephone | 410-970-8190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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