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General NPI Number Information
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NPI Number | 1285856682
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Entity Type | Organization
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Legal Business Name | REBOUND INC OF VA.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 GRESHAM DR MEDICAL TOWER ANNEX
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City | NORFOLK
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State | VA
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Zip | 23507
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Country | US
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Telephone | 757-625-0518
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Fax | 757-313-5103
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Provider Business Mailing Address
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Address Line | 400 GRESHAM DR MEDICAL TOWER ANNEX
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City | NORFOLK
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State | VA
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Zip | 23507
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Country | US
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Telephone | 757-625-0518
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Fax | 757-313-5103
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT JOHN FEBER
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Credential | REGISTERED OPTICIAN
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Telephone | 757-625-0518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 742
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License Number State | VA
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