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General NPI Number Information
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NPI Number | 1164052148
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Entity Type | Organization
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Legal Business Name | MARLOW REHAB SERVICES, PLLC
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Dates
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Enumeration Date | 01/18/2020
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 304 W. GILKEY
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City | MARLOW
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State | OK
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Zip | 73055-1224
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Country | US
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Telephone | 580-641-0030
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 532
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City | MARLOW
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State | OK
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Zip | 73055-0532
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Country | US
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Telephone | 405-650-7531
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/PHYSICAL THERAPIST
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Name | ROBERT RAINES
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Credential | PT
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Telephone | 405-650-7531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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