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General NPI Number Information
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NPI Number | 1316238918
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Entity Type | Organization
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Legal Business Name | CATALINA REHABILITATION
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Dates
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Enumeration Date | 04/29/2011
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Last Update Date | 04/29/2011
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Provider Practice Location Address
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Address Line | 3973 E SONGBIRD LN
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City | TUCSON
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State | AZ
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Zip | 85739-9508
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Country | US
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Telephone | 520-977-2256
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Fax | 909-803-9790
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Provider Business Mailing Address
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Address Line | 3973 E SONGBIRD LN
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City | TUCSON
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State | AZ
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Zip | 85739-9508
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Country | US
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Telephone | 520-977-2256
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Fax | 909-803-9790
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. CHRISTOPHER L MARSH
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Credential | D.O.
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Telephone | 520-977-2256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | MED 4542
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License Number State | AZ
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