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General NPI Number Information
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NPI Number | 1023049970
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Entity Type | Organization
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Legal Business Name | REHABONE MEDICAL GROUP, INC
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 09/10/2019
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Provider Practice Location Address
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Address Line | 13980 BLOSSOM HILL RD STE D
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City | LOS GATOS
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State | CA
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Zip | 95032-5121
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Country | US
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Telephone | 408-264-5570
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Fax | 408-264-5576
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Provider Business Mailing Address
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Address Line | 13980 BLOSSOM HILL RD STE D
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City | LOS GATOS
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State | CA
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Zip | 95032-5121
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Country | US
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Telephone | 408-264-5570
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Fax | 408-264-5576
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | VERONICA DELGADO
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Credential |
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Telephone | 408-264-5570
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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 | CA20A6184
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License Number State | CA
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