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General NPI Number Information
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NPI Number | 1487982591
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Entity Type | Organization
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Legal Business Name | LEHIGH VALLEY REHAB ASSOCIATES
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Dates
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Enumeration Date | 12/01/2009
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Last Update Date | 12/01/2009
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Provider Practice Location Address
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Address Line | 1416 UNION BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18109-1675
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Country | US
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Telephone | 610-432-3835
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Fax | 610-432-3837
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Provider Business Mailing Address
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Address Line | PO BOX 311
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-0311
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Country | US
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Telephone | 610-432-3837
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Fax | 610-432-3837
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STUART KEVIN HIMMELSTEIN
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Credential | D.C.
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Telephone | 215-632-3074
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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 | DC009790
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License Number State | PA
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