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General NPI Number Information
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NPI Number | 1366080012
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Entity Type | Organization
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Legal Business Name | SACRAMENTO REHABILITATION SOLUTIONS INC
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Dates
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Enumeration Date | 12/12/2019
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 363 LINCOLN BLVD
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City | LINCOLN
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State | CA
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Zip | 95648-1810
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Country | US
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Telephone | 916-770-9979
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Fax |
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Provider Business Mailing Address
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Address Line | 363 LINCOLN BLVD
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City | LINCOLN
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State | CA
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Zip | 95648-1810
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Country | US
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Telephone | 916-770-9979
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | STEVEN JOSEPH DEVILBISS
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Credential | OT
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Telephone | 916-770-9979
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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