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General NPI Number Information
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NPI Number | 1578232377
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Entity Type | Organization
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Legal Business Name | REHABTECH SUPPLY, LLC
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Dates
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Enumeration Date | 09/07/2021
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 149 WELDON PKWY
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City | MARYLAND HEIGHTS
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State | MO
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Zip | 63043-3103
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Country | US
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Telephone | 888-800-9445
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Fax |
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Provider Business Mailing Address
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Address Line | 655 W GRAND AVE STE 100
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City | ELMHURST
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State | IL
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Zip | 60126-1061
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Country | US
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Telephone | 888-800-9445
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN DACY
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Credential |
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Telephone | 888-800-9445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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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 | 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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