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General NPI Number Information
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NPI Number | 1205285798
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Entity Type | Organization
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Legal Business Name | TOP REHAB CARE LLC
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | 146 PAGE AVE
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City | LYNDHURST
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State | NJ
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Zip | 07071-2613
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Country | US
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Telephone | 973-710-2466
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Fax |
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Provider Business Mailing Address
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Address Line | 146 PAGE AVE
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City | LYNDHURST
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State | NJ
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Zip | 07071-2613
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Country | US
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Telephone | 973-710-2466
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | JASMIN SALVADOR
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Credential |
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Telephone | 973-710-2466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 46TR00303300
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License Number State | NJ
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