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General NPI Number Information
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NPI Number | 1245021344
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Entity Type | Organization
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Legal Business Name | QUALITY CARE REHABILITATION AND WELLNESS LLC
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1755 KENNEDY BLVD
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City | JERSEY CITY
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State | NJ
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Zip | 07305
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Country | US
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Telephone | 201-332-4552
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Fax |
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Provider Business Mailing Address
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Address Line | 1755 KENNEDY BLVD
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City | JERSEY CITY
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State | NJ
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Zip | 07305
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Country | US
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Telephone | 201-332-9988
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Fax | 201-332-4552
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Authorized Official
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Title or Position | PHYSICAL THERAPIT
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Name | MARLON LOPEZ
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Credential | PHYSICAL THERAPIST
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Telephone | 201-456-9104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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