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General NPI Number Information
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NPI Number | 1487757019
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Entity Type | Organization
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Legal Business Name | DUNELAND REGIONAL REHABILITATION INC PC
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 01/08/2011
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Provider Practice Location Address
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Address Line | 16382 MORTON PL
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City | LOWELL
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State | IN
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Zip | 46356-1388
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Country | US
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Telephone | 219-696-5519
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Fax |
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Provider Business Mailing Address
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Address Line | 16382 MORTON PL
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City | LOWELL
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State | IN
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Zip | 46356-1388
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Country | US
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Telephone | 219-696-5519
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Fax |
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Authorized Official
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Title or Position | PRESIDENT DUNELAND REGIONAL REHABIL
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Name | MRS. BETSY SILLECK THIEL
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Credential | PTDPT
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Telephone | 219-696-5519
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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 | 53000047A
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License Number State | IN
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