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General NPI Number Information
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NPI Number | 1255506663
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Entity Type | Organization
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Legal Business Name | GO REHAB, PA
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 2550 BECKLEYMEADE AVE SUITE 100
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City | DALLAS
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State | TX
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Zip | 75237-3974
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Country | US
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Telephone | 972-572-4040
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Fax | 972-572-5040
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Provider Business Mailing Address
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Address Line | PO BOX 226443
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City | DALLAS
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State | TX
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Zip | 75222-6443
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Country | US
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Telephone | 972-572-4040
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Fax | 972-572-5040
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BYRON EARL STRAIN
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Credential | M.D.
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Telephone | 972-572-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | J8384
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License Number State | TX
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