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General NPI Number Information
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NPI Number | 1942575659
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Entity Type | Organization
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Legal Business Name | REHAB TECHNOLOGIES LLC
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Dates
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Enumeration Date | 03/13/2012
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Last Update Date | 03/28/2019
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Provider Practice Location Address
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Address Line | 2715 HUNTSVILLE HWY STE A
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-7363
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Country | US
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Telephone | 931-438-3307
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Fax | 931-438-3306
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Provider Business Mailing Address
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Address Line | PO BOX 321
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City | HUNTSVILLE
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State | AL
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Zip | 35804-0321
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Country | US
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Telephone | 256-432-4007
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Fax | 256-532-4008
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. BRANDON MARBUT
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Credential |
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Telephone | 256-532-4007
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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 | 000000112
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License Number State | TN
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