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General NPI Number Information
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NPI Number | 1922574417
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Entity Type | Organization
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Legal Business Name | RAE HOLDINGS, LTD
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Dates
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Enumeration Date | 10/23/2018
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 16455 W BLUEMOUND RD STE 110
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City | BROOKFIELD
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State | WI
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Zip | 53005-5921
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Country | US
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Telephone | 414-877-0348
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Fax |
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Provider Business Mailing Address
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Address Line | 4701 COLUMBUS ST STE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6725
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Country | US
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Telephone | 414-736-1317
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Fax | 757-965-6843
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Authorized Official
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Title or Position | CEO
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Name | RICHARD SALINAS
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Credential |
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Telephone | 414-736-1317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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