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General NPI Number Information
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NPI Number | 1538014709
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Entity Type | Organization
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Legal Business Name | RUSH-SELECT HOLDINGS, LLC.
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 504 W BURLINGTON AVE STE C
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City | LA GRANGE
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State | IL
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Zip | 60525-2227
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Country | US
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Telephone | 464-202-7240
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Fax |
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Provider Business Mailing Address
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Address Line | 4714 GETTYSBURG RD
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City | MECHANICSBURG
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State | PA
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Zip | 17055-4325
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF LEGAL OFFICER
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Name | JOHN F DUGGAN
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Credential |
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Telephone | 717-972-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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