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General NPI Number Information
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NPI Number | 1396979191
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Entity Type | Organization
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Legal Business Name | REHABCARE
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 05/07/2009
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Provider Practice Location Address
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Address Line | 863 W BRIARCLIFF RD
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City | BOLINGBROOK
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State | IL
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Zip | 60440-6150
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Country | US
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Telephone | 630-398-2071
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Fax | 630-579-4746
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Provider Business Mailing Address
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Address Line | 863 W BRIARCLIFF RD
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City | BOLINGBROOK
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State | IL
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Zip | 60440-6150
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Country | US
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Telephone | 630-398-2071
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Fax | 630-579-4746
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | RAMSES DELATORRE RIVERA
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Credential | PT
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Telephone | 630-398-2071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 070012990
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License Number State | IL
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