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General NPI Number Information
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NPI Number | 1104024793
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Entity Type | Organization
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Legal Business Name | JOHN C MEGARR REHABILITATION MEDICINE PC
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 543 E 137TH ST
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City | BRONX
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State | NY
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Zip | 10454-4202
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Country | US
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Telephone | 201-310-8619
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Fax |
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Provider Business Mailing Address
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Address Line | 543 E 137TH ST
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City | BRONX
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State | NY
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Zip | 10454-4202
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Country | US
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Telephone | 201-310-8619
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN C MEGARR
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Credential | M.D.
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Telephone | 201-310-8619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 186735
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License Number State | NY
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