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General NPI Number Information
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NPI Number | 1255409827
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Entity Type | Organization
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Legal Business Name | REHAB MANAGEMENT INC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 1440 RUSSELL RD
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City | PAOLI
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State | PA
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Zip | 19301-1236
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Country | US
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Telephone | 814-552-0229
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Fax |
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Provider Business Mailing Address
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Address Line | 1440 RUSSELL RD
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City | PAOLI
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State | PA
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Zip | 19301-1236
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Country | US
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Telephone | 610-644-6464
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Fax |
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Authorized Official
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Title or Position | EMR ADMIN
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Name | DEBRA SATTLER
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Credential |
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Telephone | 814-552-0229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 157050
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License Number State | PA
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