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General NPI Number Information
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NPI Number | 1174709877
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Entity Type | Organization
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Legal Business Name | MARYLAND REHAB ASSOCIATES LLC
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 1017 UNIVERSITY BLVD E STE 101
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City | SILVER SPRING
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State | MD
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Zip | 20903-3704
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Country | US
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Telephone | 301-408-3776
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Fax | 301-408-3799
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Provider Business Mailing Address
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Address Line | 1017 UNIVERSITY BLVD E STE 101
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City | SILVER SPRING
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State | MD
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Zip | 20903-3704
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Country | US
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Telephone | 301-408-3776
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Fax | 301-408-3799
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. SCOTT F TUMINELLI
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Credential | D.C.
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Telephone | 301-408-3776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | SO1644
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License Number State | MD
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