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General NPI Number Information
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NPI Number | 1225227689
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Entity Type | Organization
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Legal Business Name | KEVIN REHAK, OD
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 301 N LEWIS RD #165
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City | ROYERSFORD
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State | PA
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Zip | 19468-1531
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Country | US
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Telephone | 610-948-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 301 N LEWIS RD #165
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City | ROYERSFORD
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State | PA
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Zip | 19468-1531
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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 | OWNER
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Name | DR. KEVIN REHAK
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Credential | OD
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Telephone | 610-948-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 5994900001
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License Number State | PA
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