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General NPI Number Information
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NPI Number | 1790967024
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Entity Type | Organization
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Legal Business Name | AT HOME REHAB, INC.
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 11/28/2007
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Provider Practice Location Address
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Address Line | 7473 SE JAMESTOWN TER
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City | HOBE SOUND
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State | FL
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Zip | 33455-5877
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Country | US
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Telephone | 772-546-2005
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Fax | 772-546-2095
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Provider Business Mailing Address
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Address Line | 7473 SE JAMESTOWN TER
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City | HOBE SOUND
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State | FL
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Zip | 33455-5877
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Country | US
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Telephone | 772-546-2005
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Fax | 772-546-2095
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Authorized Official
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Title or Position | PRES
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Name | MS. LISA G. BOWE
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Credential | P.T.
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Telephone | 772-546-2005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 0006416
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License Number State | FL
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