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General NPI Number Information
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NPI Number | 1386236834
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Entity Type | Organization
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Legal Business Name | ROLL ON REHAB
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Dates
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Enumeration Date | 02/05/2021
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Last Update Date | 02/05/2021
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Provider Practice Location Address
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Address Line | 10033 LAKE DR
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City | MECOSTA
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State | MI
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Zip | 49332-9461
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Country | US
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Telephone | 231-250-2777
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Fax |
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Provider Business Mailing Address
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Address Line | 10033 LAKE DR
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City | MECOSTA
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State | MI
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Zip | 49332-9461
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Country | US
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Telephone | 231-250-2777
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MRS. PAULA K HELMS
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Credential | CFO HEALTH CARE
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Telephone | 231-250-2777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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