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General NPI Number Information
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NPI Number | 1376734830
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Entity Type | Organization
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Legal Business Name | A&M REHAB MEDICAL SERVICES, L.L.C.
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 08/08/2007
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Provider Practice Location Address
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Address Line | 1050 CONNECTICUT AVE NW 10TH FLOOR
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City | WASHINGTON
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State | DC
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Zip | 20036-5303
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Country | US
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Telephone | 202-772-4152
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 CONNECTICUT AVE NW 10TH FLOOR
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City | WASHINGTON
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State | DC
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Zip | 20036-5303
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Country | US
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Telephone | 202-772-4152
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. RONNIE EARL MILLS
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Credential | JD
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Telephone | 202-772-4152
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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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