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General NPI Number Information
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NPI Number | 1902144017
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Entity Type | Organization
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Legal Business Name | CLINICAL REHAB SPECIALISTS LLC
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Dates
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Enumeration Date | 01/24/2013
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Last Update Date | 08/28/2014
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Provider Practice Location Address
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Address Line | 9 ACTON RD STE 16
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City | CHELMSFORD
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State | MA
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Zip | 01824-3411
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Country | US
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Telephone | 978-726-8310
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Fax |
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Provider Business Mailing Address
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Address Line | 9 ACTON RD STE 16
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City | CHELMSFORD
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State | MA
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Zip | 01824-3411
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Country | US
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Telephone | 978-726-8310
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Fax | 978-418-0279
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GERARD DYBEL
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Credential | PT
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Telephone | 978-985-2689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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