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General NPI Number Information
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NPI Number | 1952954240
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Entity Type | Organization
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Legal Business Name | ONE REHAB
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Dates
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Enumeration Date | 07/17/2019
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 1761 INTERNATIONAL PKWY STE 135
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City | RICHARDSON
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State | TX
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Zip | 75081-1864
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Country | US
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Telephone | 972-845-7875
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Fax | 469-458-2096
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Provider Business Mailing Address
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Address Line | 1761 INTERNATIONAL PKWY STE 135
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City | RICHARDSON
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State | TX
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Zip | 75081-1864
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Country | US
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Telephone | 972-845-7875
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Fax | 469-458-2096
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | OTHMAN ELSEHETY
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Credential |
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Telephone | 469-644-1671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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