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General NPI Number Information
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NPI Number | 1215260062
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Entity Type | Organization
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Legal Business Name | REHAB SPECIALISTS, INC.
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Dates
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Enumeration Date | 09/11/2009
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Last Update Date | 09/11/2009
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Provider Practice Location Address
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Address Line | 2005 HARVEST MOON CT.
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-6675
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Country | US
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Telephone | 888-669-7342
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Fax | 888-705-4040
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Provider Business Mailing Address
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Address Line | PO BOX 56548
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-9548
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Country | US
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Telephone | 888-669-7342
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Fax | 888-705-4040
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. JAMES MICHAEL RAY
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Credential | CFO
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Telephone | 888-669-7342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | CFO02178
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License Number State | VA
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