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General NPI Number Information
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NPI Number | 1205042298
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Entity Type | Organization
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Legal Business Name | REHABILITATION MANAGEMENT SPECIALISTS, LLC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 05/15/2018
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Provider Practice Location Address
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Address Line | 2207 VALLEY VIEW DR S
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City | SAYLORSBURG
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State | PA
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Zip | 18353
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Country | US
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Telephone | 610-349-6679
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Fax |
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Provider Business Mailing Address
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Address Line | 2207 VALLEY VIEW DR S
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City | SAYLORSBURG
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State | PA
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Zip | 18353-8361
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Country | US
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Telephone | 610-349-6679
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DANNIELL JESUS REYES
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Credential | CCSP, DACRB, CIRS
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Telephone | 610-349-6679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC006207-L
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License Number State | PA
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