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General NPI Number Information
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NPI Number | 1861728305
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Entity Type | Organization
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Legal Business Name | TOTAL REHAB SERVICES
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Dates
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Enumeration Date | 10/18/2009
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Last Update Date | 10/18/2009
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Provider Practice Location Address
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Address Line | 12002 HARDWICK DR
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City | FISHERS
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State | IN
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Zip | 46038-1363
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Country | US
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Telephone | 317-640-3769
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Fax |
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Provider Business Mailing Address
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Address Line | 12002 HARDWICK DR
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City | FISHERS
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State | IN
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Zip | 46038-1363
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Country | US
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Telephone | 317-640-3769
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY
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Name | IHAB M ALI
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Credential | DPT
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Telephone | 317-640-3769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 05005560A
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License Number State | IN
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