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General NPI Number Information
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NPI Number | 1619206117
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Entity Type | Organization
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Legal Business Name | REHAB1ONE OP LTD
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Dates
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Enumeration Date | 12/11/2009
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 11411 JAMAICA AVE STE A
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2443
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Country | US
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Telephone | 718-961-2330
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Fax |
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Provider Business Mailing Address
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Address Line | 7721 166TH ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11366-1232
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Country | US
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Telephone | 646-267-2409
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Fax | 516-231-2732
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEV MATATOV
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Credential | BOCPO
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Telephone | 718-961-2330
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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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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