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General NPI Number Information
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NPI Number | 1154324440
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Entity Type | Organization
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Legal Business Name | NRH-CPT REGIONAL REHAB LLC
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 24035 THREE NOTCH RD
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City | HOLLYWOOD
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State | MD
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Zip | 20636-4871
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Country | US
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Telephone | 301-373-2588
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Fax |
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Provider Business Mailing Address
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Address Line | 102 IRVING ST NW
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City | WASHINGTON
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State | DC
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Zip | 20010-2921
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR PFS
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Name | PATRICK ZUNIGA
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Credential |
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Telephone | 240-965-3519
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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 |
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License Number State |
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