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General NPI Number Information
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NPI Number | 1245653872
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Entity Type | Organization
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Legal Business Name | MEDREHAB SPECIALISTS OF NORTH CAROLINA, PA
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Dates
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Enumeration Date | 02/03/2014
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 6000 FAIRVIEW RD STE 1200
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City | CHARLOTTE
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State | NC
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Zip | 28210-2252
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Country | US
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Telephone | 704-626-2505
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Fax |
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Provider Business Mailing Address
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Address Line | 303 PERIMETER CTR N STE 300
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City | ATLANTA
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State | GA
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Zip | 30346-3401
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Country | US
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Telephone | 404-596-5599
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALBERTO MOREJON
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Credential | M.D.
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Telephone | 704-626-2505
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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 | 2013-02202
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License Number State | NC
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