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1154324440

NPI Code Detail

MEDICARE: NRH-CPT REGIONAL REHAB LLC

MEDICARE: NRH-CPT REGIONAL REHAB LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	284100	OTHER	MD	MAMSI ST MARY
2	284471	OTHER	MD	MAMSI WALDORF
3	3417	OTHER	DC	BLUE SHIELD
4	284100	OTHER	MD	MAMSI
5	LY31	OTHER	MD	BLUESHIELD

General Provider Information

NPI Number	:	1154324440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NRH-CPT REGIONAL REHAB LLC

Provider Business Mailing Address
First Line	:	102 IRVING ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2921
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24035 THREE NOTCH RD
Second Line	:
City	:	HOLLYWOOD
State	:	MD
Zip	:	20636-4871
Country	:	US
Telephone Number	:	301-373-2588
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR PFS
Name	:	PATRICK ZUNIGA
Credential	:
Telephone Number	:	240-965-3519

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	12/08/2011

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Directions to “NRH-CPT REGIONAL REHAB LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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