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General NPI Number Information
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NPI Number | 1316887920
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Entity Type | Organization
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Legal Business Name | NEUROAXIS REHABILITATION SERVICES
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 135 TECHNOLOGY DR STE 100
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City | CANONSBURG
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State | PA
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Zip | 15317-9549
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Country | US
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Telephone | 724-585-8145
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Fax | 724-270-3012
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Provider Business Mailing Address
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Address Line | 1159 BAYBERRY DR
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City | CANONSBURG
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State | PA
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Zip | 15317-4992
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Country | US
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Telephone | 724-585-8145
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Fax | 724-270-3012
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Authorized Official
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Title or Position | OWNER
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Name | KELSEY ANN HARRIS
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Credential | PT, DPT, CSRS, CNS
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Telephone | 724-705-4311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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