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General NPI Number Information
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NPI Number | 1881785269
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Entity Type | Individual
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Provider Name | EMILY LYNN RAHEMI PTA
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 1006 33RD ST
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City | VERO BEACH
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State | FL
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Zip | 32960-6910
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Country | US
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Telephone | 772-567-4804
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Fax | 772-567-4866
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Provider Business Mailing Address
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Address Line | 1915 BRIDGEPOINTE CIR #40
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City | VERO BEACH
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State | FL
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Zip | 32967-6848
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Country | US
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Telephone | 269-501-7034
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA20534
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License Number State | FL
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