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General NPI Number Information
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NPI Number | 1407032246
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Entity Type | Organization
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Legal Business Name | THERA-PRO REHABILITATION SERVICES, LLC
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 1454 NEVARC RD
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City | WARMINSTER
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State | PA
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Zip | 18974-3641
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Country | US
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Telephone | 215-837-5055
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Fax |
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Provider Business Mailing Address
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Address Line | 1454 NEVARC RD
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City | WARMINSTER
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State | PA
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Zip | 18974-3641
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Country | US
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Telephone | 215-837-5055
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | TODD A KRAWCHUK
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Credential | MSPT
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Telephone | 215-837-5055
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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 | PT012755L
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License Number State | PA
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