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NPI 1528191517

NPI 1528191517 : INTEGRATED REHABILITATION SYSTEMS INC : IRVING, TX

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General NPI Number Information
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    NPI Number           |    1528191517
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    Entity Type          |    Organization 
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    Legal Business Name  |    INTEGRATED REHABILITATION SYSTEMS INC 
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Dates
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    Enumeration Date     |    03/13/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1128 LUKE ST 
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    City                 |    IRVING
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    State                |    TX
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    Zip                  |    75061-4004
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    Country              |    US
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    Telephone            |    972-313-0186
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    Fax                  |    972-986-9093
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Provider Business Mailing Address
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    Address Line         |    1128 LUKE ST 
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    City                 |    IRVING
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    State                |    TX
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    Zip                  |    75061-4004
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    Country              |    US
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    Telephone            |    972-313-0186
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    Fax                  |    972-986-9093
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. ERIK JACKSON STRADER 
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    Credential           |    PROFESSIONAL ENGINEE
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    Telephone            |    972-313-0186
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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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Taxonomy #2
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225CA2500X
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    Taxonomy Name        |    Assistive Technology Supplier Rehabilitation Counselor
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    License Number       |    
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    License Number State |    
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