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General NPI Number Information
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NPI Number | 1225436264
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Entity Type | Organization
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Legal Business Name | TRULY THERAPEUTIC REHAB SOLUTIONS, PLLC
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 10130 PERIMETER PKWY SUITE 200
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City | CHARLOTTE
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State | NC
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Zip | 28216-2447
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Country | US
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Telephone | 919-793-3396
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Fax | 704-602-5212
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Provider Business Mailing Address
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Address Line | PO BOX 142
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City | WAKE FOREST
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State | NC
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Zip | 27588-0142
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Country | US
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Telephone | 919-793-3396
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Fax | 704-602-5212
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Authorized Official
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Title or Position | OWNER
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Name | SCOTILLIA NOEL FOGG
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Credential | OTR/L
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Telephone | 919-793-3396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 8544
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License Number State | NC
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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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