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General NPI Number Information
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NPI Number | 1114239829
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Entity Type | Organization
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Legal Business Name | TOTAL REHAB INSTITUTE INC
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Dates
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Enumeration Date | 07/10/2010
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Last Update Date | 07/10/2010
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Provider Practice Location Address
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Address Line | 12424 WILSHIRE BLVD SUITE #1110
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City | LOS ANGELES
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State | CA
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Zip | 90025-1052
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Country | US
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Telephone | 310-826-3919
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Fax | 310-826-3724
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Provider Business Mailing Address
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Address Line | 50 N LA CIENEGA BLVD SUITE #201
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2227
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Country | US
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Telephone | 310-860-9646
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Fax | 310-854-9020
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN WASSERMAN
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Credential |
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Telephone | 310-826-3919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT24158
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License Number State | CA
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