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General NPI Number Information
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NPI Number | 1659596849
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Entity Type | Organization
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Legal Business Name | REHAB PLUS MEDICAL LLC
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Dates
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Enumeration Date | 04/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 112 QUINCE DR
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City | HATBORO
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State | PA
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Zip | 19040-1920
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Country | US
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Telephone | 215-892-4076
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Fax | 215-248-3915
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Provider Business Mailing Address
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Address Line | 112 QUINCE DR
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City | HATBORO
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State | PA
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Zip | 19040-1920
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Country | US
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Telephone | 215-892-4076
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Fax | 215-248-3915
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Authorized Official
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Title or Position | OWNER
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Name | MR. ELLIOTT ROBERT GUSTIN
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Credential |
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Telephone | 215-892-4076
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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 | 8381472
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License Number State | PA
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