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General NPI Number Information
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NPI Number | 1023520111
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Entity Type | Organization
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Legal Business Name | REACTIVE MEDICAL CENTER, INC
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Dates
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Enumeration Date | 10/29/2017
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 31411 CAMINO CAPISTRANO STE 700
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-2676
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Country | US
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Telephone | 949-388-8993
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Fax | 855-811-1133
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Provider Business Mailing Address
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Address Line | 31411 CAMINO CAPISTRANO STE 700
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-2676
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Country | US
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Telephone | 949-388-8993
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANNE ZUZELSKI
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Credential | MD
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Telephone | 949-388-8993
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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 | A119497
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License Number State | CA
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