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Organization

REHABILITATION EQUIPMENT PROFESSIONALS

Active
Other names
REP INC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHAD LOFGREEN (COO)
(703) 370-2100
Entity
Organization

Contact information

Practice address
5130 DUKE ST, SUITE 12, ALEXANDRIA, VA 22304-2924
(703) 370-2100
Mailing address
5130 DUKE ST, SUITE 12, ALEXANDRIA, VA 22304-2924
(703) 370-2100
(703) 370-7985

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
1590501
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009135570
VA
05
025159700
DC
05
627888400
MD
01
ME66
CAREFIRST BCBS
MD
Enumeration date
03/14/2006
Last updated
05/20/2024
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