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General NPI Number Information
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NPI Number | 1275261224
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Entity Type | Organization
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Legal Business Name | RALLY REHAB AND WELLNESS LLC
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 4050 SANTA FE DR
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City | FALLON
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State | NV
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Zip | 89406-5246
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Country | US
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Telephone | 847-815-3038
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Fax | 833-548-0183
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Provider Business Mailing Address
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Address Line | 4050 SANTA FE DR
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City | FALLON
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State | NV
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Zip | 89406-5246
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Country | US
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Telephone | 847-815-3038
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Fax |
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Authorized Official
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Title or Position | OWNER / PHYSICAL THERAPIST
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Name | DR. DOMINIQUE FRENCH
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Credential | PT
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Telephone | 847-815-3038
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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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