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General NPI Number Information
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NPI Number | 1053361261
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Entity Type | Organization
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Legal Business Name | MID-ATLANTIC REHABILITATION ASSOCIATES P A
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 1750 ZION RD SUITE 103
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City | NORTHFIELD
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State | NJ
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Zip | 08225-1844
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Country | US
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Telephone | 609-641-2581
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Fax | 609-641-6901
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Provider Business Mailing Address
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Address Line | PO BOX 8627
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City | CHERRY HILL
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State | NJ
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Zip | 08002-0627
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Country | US
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Telephone | 856-755-1616
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Fax | 856-755-1616
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Authorized Official
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Title or Position | PRES./OWNER
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Name | MR. ARVIND B BALIGA
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Credential | M.D.
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Telephone | 609-641-2581
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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 |
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License Number State |
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