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General NPI Number Information
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NPI Number | 1992575641
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Entity Type | Organization
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Legal Business Name | REHAB MEDICAL, LLC
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 8936 WESTERN WAY STE 5
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City | JACKSONVILLE
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State | FL
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Zip | 32256-8393
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Country | US
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Telephone | 317-559-2034
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Fax |
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Provider Business Mailing Address
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Address Line | 3750 PRIORITY WAY SOUTH DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-3831
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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 | OFFICE IMPLEMENTATION COORDINATOR
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Name | MARCEL WARREN
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Credential |
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Telephone | 317-559-2034
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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 |
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License Number State |
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