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General NPI Number Information
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NPI Number | 1023496833
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Entity Type | Organization
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Legal Business Name | JONALD REHAB SERVICES CORP
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 13044 236TH ST
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City | ROSEDALE
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State | NY
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Zip | 11422-1218
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Country | US
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Telephone | 516-849-7672
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Fax |
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Provider Business Mailing Address
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Address Line | 13044 236TH ST
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City | ROSEDALE
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State | NY
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Zip | 11422-1218
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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 | OCCUPATIONAL THERAPIST
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Name | JONALD BAPTISTE
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Credential | MS, OTR/L
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Telephone | 516-849-7672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 018302-1
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License Number State | NY
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