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General NPI Number Information
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NPI Number | 1396900767
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Entity Type | Organization
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Legal Business Name | REHABTECH INC
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 04/30/2009
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Provider Practice Location Address
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Address Line | 302 EDMUND ST
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City | EAST PEORIA
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State | IL
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Zip | 61611-2320
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Country | US
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Telephone | 309-691-5805
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Fax | 309-691-9560
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Provider Business Mailing Address
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Address Line | 440 W BELL CT SUITE 400
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City | OAK CREEK
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State | WI
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Zip | 53154-8335
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Country | US
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Telephone | 414-762-1300
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Fax | 414-762-8225
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Authorized Official
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Title or Position | C E O
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Name | MS. REBECCA L TOGLIATTI
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Credential |
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Telephone | 414-762-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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