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General NPI Number Information
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NPI Number | 1740635127
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Entity Type | Organization
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Legal Business Name | H2 REHABILITATION EXTENSION SERVICES, LLC
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 11/19/2023
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Provider Practice Location Address
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Address Line | 1948 E 3RD ST STE C
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-3945
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Country | US
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Telephone | 570-327-1760
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Fax | 570-327-1756
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Provider Business Mailing Address
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Address Line | PO BOX 932184
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City | ATLANTA
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State | GA
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Zip | 31193-4912
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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 | VICE PRESIDENT
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Name | AMANDA STREETER
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Credential |
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Telephone | 800-699-9395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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