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General NPI Number Information
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NPI Number | 1710082771
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Entity Type | Organization
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Legal Business Name | DR JAMES L REHBERGER PC
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 09/06/2011
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Provider Practice Location Address
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Address Line | 1000 ZSCHOKKE ST
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City | HIGHLAND
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State | IL
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Zip | 62249-1650
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Country | US
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Telephone | 618-654-4451
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Fax | 618-654-5361
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Provider Business Mailing Address
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Address Line | 1000 ZSCHOKKE ST
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City | HIGHLAND
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State | IL
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Zip | 62249-1650
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Country | US
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Telephone | 618-654-4451
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Fax | 618-654-5361
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Authorized Official
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Title or Position | PRESIDENT/OPERATOR
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Name | DR. JAMES L REHBERGER
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Credential | D.C.
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Telephone | 618-654-4451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038003454
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License Number State | IL
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