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General NPI Number Information
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NPI Number | 1871604272
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Entity Type | Organization
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Legal Business Name | CORBY REHABILITATION SERVICES, INC.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 4018 WESTOAK VALLEY DR
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City | LANESVILLE
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State | IN
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Zip | 47136-9475
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Country | US
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Telephone | 812-442-7476
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Fax | 812-442-7545
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Provider Business Mailing Address
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Address Line | PO BOX 399
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City | SEELYVILLE
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State | IN
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Zip | 47878-0399
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Country | US
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Telephone | 812-442-7476
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Fax | 812-442-7545
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Authorized Official
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Title or Position | OWNER
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Name | GARY ALAN CORBY
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Credential | MD
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Telephone | 812-442-7476
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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 | 01045450A
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License Number State | IN
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