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General NPI Number Information
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NPI Number | 1740798727
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Entity Type | Organization
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Legal Business Name | ESSENTIAL REHABILITATION SERVICES, LLC
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Dates
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Enumeration Date | 01/12/2018
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Last Update Date | 02/07/2018
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Provider Practice Location Address
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Address Line | 1955 W FRYE RD
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City | CHANDLER
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State | AZ
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Zip | 85224-6282
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Country | US
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Telephone | 480-434-4356
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Fax | 480-718-8119
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Provider Business Mailing Address
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Address Line | 7301 E 3RD AVE UNIT 311
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-4461
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Country | US
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Telephone | 480-434-4356
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Fax | 480-718-8119
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. HASSAN ABIOLA AKINBIYI
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Credential | MD
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Telephone | 480-434-4356
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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 |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 48329
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License Number State | AZ
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