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General NPI Number Information
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NPI Number | 1215395694
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Entity Type | Organization
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Legal Business Name | REHABILITATION CARE CONSULTANTS INC
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Dates
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Enumeration Date | 02/01/2016
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Last Update Date | 02/01/2016
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Provider Practice Location Address
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Address Line | 1515 N ALEXANDRIA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90027-5203
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Country | US
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Telephone | 214-986-3010
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Fax | 818-671-2225
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Provider Business Mailing Address
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Address Line | 3711 7TH AVE
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City | LOS ANGELES
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State | CA
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Zip | 90018-4109
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Country | US
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Telephone | 214-986-3010
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Fax | 818-671-2225
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Authorized Official
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Title or Position | MD/OWNER
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Name | CALVIN TROCON PETERS
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Credential | M.D.
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Telephone | 214-986-3010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 138038
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License Number State | CA
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