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General NPI Number Information
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NPI Number | 1699590265
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Entity Type | Organization
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Legal Business Name | IVYREHAB NETWORK, INC.
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 210 NORTH AVE E STE 1
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City | CRANFORD
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State | NJ
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Zip | 07016-2491
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Country | US
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Telephone | 908-276-0237
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 416495
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City | BOSTON
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State | MA
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Zip | 02241-6495
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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 | DIRECTOR OF PAYER RELATIONS
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Name | ASHLEY GRIFFITHS
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Credential |
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Telephone | 914-294-4050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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 |
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