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General NPI Number Information
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NPI Number | 1861763880
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Entity Type | Organization
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Legal Business Name | REHAB RESULTS, LLC
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Dates
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Enumeration Date | 01/23/2012
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 4145 N GLOUCESTER PL
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City | ATLANTA
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State | GA
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Zip | 30341-1249
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Country | US
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Telephone | 404-992-6229
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Fax | 678-404-8890
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Provider Business Mailing Address
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Address Line | 4145 N GLOUCESTER PL
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City | ATLANTA
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State | GA
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Zip | 30341-1249
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Country | US
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Telephone | 404-992-6229
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. GEOFFREY DAVID DIEK
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Credential | PT
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Telephone | 404-992-6229
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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 | GAPT57001
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License Number State | GA
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