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General NPI Number Information
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NPI Number | 1962913244
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Entity Type | Organization
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Legal Business Name | HEXA REHABILITATION, INC.
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Dates
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Enumeration Date | 10/13/2017
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Last Update Date | 10/13/2017
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Provider Practice Location Address
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Address Line | 19190 ROSE LN
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City | MORGAN HILL
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State | CA
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Zip | 95037-2711
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Country | US
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Telephone | 630-853-7749
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Fax |
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Provider Business Mailing Address
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Address Line | 19190 ROSE LN
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City | MORGAN HILL
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State | CA
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Zip | 95037-2711
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. DHANU JAY PANCHAL
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Credential | MD
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Telephone | 630-853-7749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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