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General NPI Number Information
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NPI Number | 1144930116
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Entity Type | Organization
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Legal Business Name | H2 REHABILITATION SERVICES OF VIRGINIA LLC
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 400 OLD FRANKLIN TPKE STE 121
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City | ROCKY MOUNT
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State | VA
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Zip | 24151-6368
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Country | US
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Telephone | 540-772-8022
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Fax | 540-772-0294
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Provider Business Mailing Address
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Address Line | PO BOX 932184
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City | ATLANTA
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State | GA
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Zip | 31193-2184
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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 | VICE PRESIDENT
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Name | AMANDA STREETER
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Credential |
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Telephone | 904-579-2824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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