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General NPI Number Information
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NPI Number | 1063462273
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE HEALTH CARE AND REHABILITATION SERVICES, LLC
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 148 WILSON AVE
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City | BROOKLYN
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State | NY
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Zip | 11237-3149
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Country | US
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Telephone | 718-455-5500
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Fax | 718-455-8700
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Provider Business Mailing Address
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Address Line | 148 WILSON AVE
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City | BROOKLYN
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State | NY
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Zip | 11237-3149
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Country | US
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Telephone | 718-455-5500
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Fax | 718-455-8700
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Authorized Official
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Title or Position | CEO
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Name | DR. JOEL RIGUEUR
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Credential | M.D.
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Telephone | 718-455-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 7001113R
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License Number State | NY
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