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General NPI Number Information
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NPI Number | 1902137409
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Entity Type | Organization
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Legal Business Name | REHABTECH SUPPLY, LLC
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Dates
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Enumeration Date | 01/22/2010
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 655 W GRAND AVE SUITE 100
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City | ELMHURST
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State | IL
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Zip | 60126-1060
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Country | US
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Telephone | 888-800-9445
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Fax | 888-800-1991
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Provider Business Mailing Address
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Address Line | 655 W GRAND AVE SUITE 100
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City | ELMHURST
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State | IL
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Zip | 60126-1060
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Country | US
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Telephone | 888-800-9445
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Fax | 888-800-1991
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BRIAN DACY
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Credential |
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Telephone | 888-800-9445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 69000699A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 203001157
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License Number State | IL
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