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General NPI Number Information
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NPI Number | 1144275835
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Entity Type | Organization
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Legal Business Name | REHAB EXCELLENCE CENTER, LLC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6981 N PARK DR SUITE 102
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City | PENNSAUKEN
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State | NJ
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Zip | 08109-4205
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Country | US
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Telephone | 856-910-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 6981 N PARK DR SUITE 102
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City | PENNSAUKEN
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State | NJ
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Zip | 08109-4205
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Country | US
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Telephone | 856-910-1200
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL OPERATIONS
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Name | STEVEN JOSEPH WOODSON
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Credential |
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Telephone | 856-910-1200
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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 | 40QA00682800
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License Number State | NJ
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