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General NPI Number Information
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NPI Number | 1083733042
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Entity Type | Organization
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Legal Business Name | POST SURGICAL REHAB SPECIALISTS
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 10450 PIONEER BLVD STE 3
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-8227
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Country | US
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Telephone | 562-468-4600
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Fax | 562-468-4646
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Provider Business Mailing Address
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Address Line | PO BOX 2886
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-0886
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Country | US
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Telephone | 562-468-4600
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Fax | 562-468-4646
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Authorized Official
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Title or Position | MANAGER
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Name | BERT CHOOMNGERN
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Credential |
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Telephone | 562-468-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 200522310202
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License Number State | CA
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