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General NPI Number Information
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NPI Number | 1265062079
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Entity Type | Organization
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Legal Business Name | KOMPASHINET REHAB LLC
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Dates
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Enumeration Date | 01/21/2020
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Last Update Date | 01/21/2020
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Provider Practice Location Address
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Address Line | 1130 KNIGHTSBRIDGE LANE
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City | FISHERS
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State | IN
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Zip | 46037-9151
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Country | US
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Telephone | 317-992-3132
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Fax | 317-578-3638
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Provider Business Mailing Address
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Address Line | 1130 KNIGHTSBRIDGE LANE
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City | FISHERS
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State | IN
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Zip | 46037-9151
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Country | US
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Telephone | 317-992-3132
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Fax | 317-578-3638
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Authorized Official
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Title or Position | OWNER
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Name | GAMAL ELSAYED
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Credential | PT
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Telephone | 317-992-3132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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