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General NPI Number Information
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NPI Number | 1386976876
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Entity Type | Organization
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Legal Business Name | REHABILITATION ASSOCIATES, P.A.
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Dates
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Enumeration Date | 02/08/2010
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Last Update Date | 03/26/2010
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Provider Practice Location Address
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Address Line | 2006 FOULK RD SUITE B
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City | WILMINGTON
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State | DE
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Zip | 19810-3644
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Country | US
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Telephone | 302-529-8783
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Fax | 302-529-1586
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Provider Business Mailing Address
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Address Line | 2006 FOULK RD SUITE B
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City | WILMINGTON
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State | DE
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Zip | 19810-3644
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Country | US
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Telephone | 302-529-8783
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Fax | 302-529-1586
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARRY L. BAKST
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Credential | D.O.
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Telephone | 302-529-8783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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