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General NPI Number Information
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NPI Number | 1326843020
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Entity Type | Organization
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Legal Business Name | REHAB MEDICAL LLC
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 199 INTERSTATE DR STE Q
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City | RICHLAND
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State | MS
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Zip | 39218-9458
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Country | US
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Telephone | 251-725-6005
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Fax |
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Provider Business Mailing Address
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Address Line | 3750 PRIORITY WAY SOUTH DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-3831
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Country | US
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Telephone | 317-436-6178
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Fax | 855-671-9194
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN GEARHEART
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Credential |
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Telephone | 317-813-4210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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