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General NPI Number Information
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NPI Number | 1679509160
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Entity Type | Organization
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Legal Business Name | REHABILITATION ASSOCIATES, P.A.
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2006 FOULK RD SUITE B
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City | WILMINGTON
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State | DE
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Zip | 19810-3644
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Country | US
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Telephone | 302-529-8783
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Fax | 302-529-1586
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Provider Business Mailing Address
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Address Line | 200 BIDDLE AVE, SPRINGSIDE SUITE 204
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City | NEWARK
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State | DE
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Zip | 19702-3968
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Country | US
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Telephone | 302-529-8783
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Fax | 302-529-1586
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | VICTORIA WOLLASTON
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Credential |
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Telephone | 302-529-8783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State | DE
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