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General NPI Number Information
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NPI Number | 1205508363
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Entity Type | Organization
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Legal Business Name | LOW VISION REHAB SOLUTIONS, LLC
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 5109 INFLUENCE WAY
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City | RALEIGH
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State | NC
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Zip | 27616-4345
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Country | US
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Telephone | 919-239-4805
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 61062
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City | RALEIGH
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State | NC
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Zip | 27661-1062
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Country | US
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Telephone | 919-239-4805
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Fax | 855-497-8443
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Authorized Official
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Title or Position | COO
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Name | MORGAN LEWIS
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Credential | MS, OTR/L, SCLV
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Telephone | 443-823-0720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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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