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General NPI Number Information
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NPI Number | 1356064737
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Entity Type | Organization
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Legal Business Name | ALL IN THERAPY AND REHAB, LLC
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Dates
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Enumeration Date | 09/21/2022
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Last Update Date | 11/09/2022
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Provider Practice Location Address
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Address Line | 7755 CENTER AVE STE 1100
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-3091
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Country | US
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Telephone | 714-372-2207
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Fax | 714-276-9721
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Provider Business Mailing Address
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Address Line | 2005 W TOSCANINI DR
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-1417
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Country | US
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Telephone | 714-372-2207
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Fax | 714-276-9721
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Authorized Official
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Title or Position | CEO
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Name | LANI JOVICIC
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Credential |
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Telephone | 661-236-8823
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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 |
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License Number State |
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