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General NPI Number Information
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NPI Number | 1376106575
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Entity Type | Organization
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Legal Business Name | REHAB JV LLC
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Dates
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Enumeration Date | 04/15/2019
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Last Update Date | 04/30/2020
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Provider Practice Location Address
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Address Line | 2000 WILKES RIDGE DR
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City | RICHMOND
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State | VA
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Zip | 23233-7632
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Country | US
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Telephone | 804-441-2450
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Fax |
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Provider Business Mailing Address
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Address Line | 140 EASTSHORE DR STE 200
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5755
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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 | CEO
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Name | ALAN LOMBARDO
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Credential |
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Telephone | 804-441-2450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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