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General NPI Number Information
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NPI Number | 1316155021
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Entity Type | Organization
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Legal Business Name | REHAB ALLIANCE
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 23271 VERDUGO DR STE B
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1347
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Country | US
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Telephone | 949-707-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 27526 JASMINE AVE
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City | MISSION VIEJO
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State | CA
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Zip | 92692-4184
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Country | US
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Telephone | 949-348-2258
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID HAYES
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Credential |
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Telephone | 949-707-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 9751
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License Number State | CA
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