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General NPI Number Information
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NPI Number | 1770210643
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Entity Type | Organization
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Legal Business Name | REHAB JV LLC
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Dates
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Enumeration Date | 08/02/2022
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2000 WILKES RIDGE DR # 1057
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City | RICHMOND
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State | VA
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Zip | 23233-7632
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Country | US
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Telephone | 804-578-6369
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Fax | 804-578-6378
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Provider Business Mailing Address
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Address Line | 2000 WILKES RIDGE DR # 1057
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City | RICHMOND
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State | VA
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Zip | 23233-7632
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Country | US
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Telephone | 804-578-6369
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Fax | 804-578-6378
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Authorized Official
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Title or Position | DIRECTOR, REVENUE CYCLE
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Name | PATRICIO A ZUNIGA
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Credential |
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Telephone | 804-342-4349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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