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General NPI Number Information
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NPI Number | 1356827869
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Entity Type | Organization
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Legal Business Name | REHAB AND BEYOND, INC.
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Dates
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Enumeration Date | 07/17/2018
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | 2197 YOUNG RD
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City | STONE MOUNTAIN
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State | GA
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Zip | 30088-4107
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Country | US
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Telephone | 770-899-6364
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Fax |
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Provider Business Mailing Address
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Address Line | 2250 OAK RD UNIT 815
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City | SNELLVILLE
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State | GA
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Zip | 30078-1905
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Country | US
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Telephone | 770-899-6364
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STANFORD MADDOX
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Credential | CHC
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Telephone | 770-899-6364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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