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General NPI Number Information
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NPI Number | 1053732560
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Entity Type | Organization
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Legal Business Name | GRAND REHAB MEDICAL
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Dates
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Enumeration Date | 12/31/2013
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Last Update Date | 12/31/2013
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Provider Practice Location Address
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Address Line | 9 E 45TH ST 6TH FL
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City | NEW YORK
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State | NY
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Zip | 10017-2425
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Country | US
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Telephone | 212-879-1478
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Fax | 800-708-5537
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Provider Business Mailing Address
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Address Line | 1365 YORK AVE SUITE P2
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City | NEW YORK
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State | NY
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Zip | 10021-4035
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Country | US
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Telephone | 212-879-1478
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Fax | 800-708-5537
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MARGARET MEI
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Credential | MD
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Telephone | 212-879-1478
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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 | 238738
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License Number State | NY
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