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General NPI Number Information
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NPI Number | 1366614695
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Entity Type | Organization
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Legal Business Name | RSG REHAB TEAM, INC
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 12/10/2012
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Provider Practice Location Address
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Address Line | 13821 SAN ANTONIO DR
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City | NORWALK
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State | CA
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Zip | 90650-4034
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Country | US
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Telephone | 562-863-4330
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Fax |
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Provider Business Mailing Address
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Address Line | 3846 DIVISION ST
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City | LOS ANGELES
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State | CA
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Zip | 90065-4245
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANNIEL EMPE GOYENA
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Credential |
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Telephone | 213-590-3246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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