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General NPI Number Information
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NPI Number | 1336691526
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Entity Type | Organization
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Legal Business Name | ROMANDETTI REHABILITATION SERVICES, LLC
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 11/04/2016
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Provider Practice Location Address
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Address Line | 317 N MAIN ST SUITE C
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City | EMPORIA
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State | VA
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Zip | 23847-1607
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Country | US
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Telephone | 845-224-5261
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Fax |
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Provider Business Mailing Address
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Address Line | 317 N MAIN ST SUITE C
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City | EMPORIA
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State | VA
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Zip | 23847-1607
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/CEO
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Name | MICHAEL ANGELO ROMANDETTI
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Credential | PT
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Telephone | 845-224-5261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305208064
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License Number State | VA
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