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General NPI Number Information
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NPI Number | 1225148240
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Entity Type | Organization
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Legal Business Name | FELIX R CANOUT REHABILITATION SERVICES, INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 1200 WILSHIRE BLVD STE 401
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City | LOS ANGELES
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State | CA
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Zip | 90017-1919
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Country | US
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Telephone | 213-481-1515
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Fax | 213-481-1518
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Provider Business Mailing Address
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Address Line | 3638 LEWIS AVE
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City | LONG BEACH
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State | CA
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Zip | 90807-4118
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Country | US
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Telephone | 213-481-1515
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Fax | 213-481-1518
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Authorized Official
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Title or Position | ADMINISTRATOR/PRESIDENT
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Name | MR. FELIX ROBERT CANOUT
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Credential | PHYSICAL THERAPIST
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Telephone | 213-481-1515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT6488
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License Number State | CA
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