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General NPI Number Information
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NPI Number | 1487821252
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Entity Type | Organization
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Legal Business Name | RX REHABILITATION SERVICES
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 3151 COUNTY ROAD CH
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City | DODGEVILLE
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State | WI
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Zip | 53533-9108
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Country | US
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Telephone | 608-935-3321
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Fax |
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Provider Business Mailing Address
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Address Line | 4601 W BLUE MOUNDS RD
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City | BARNEVELD
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State | WI
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Zip | 53507-9720
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Country | US
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Telephone | 608-513-1518
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARK J MEIVES
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Credential | PT
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Telephone | 608-513-1518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 3829024
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License Number State | WI
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