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General NPI Number Information
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NPI Number | 1407375652
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Entity Type | Organization
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Legal Business Name | OZER REHAB LLC
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Dates
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Enumeration Date | 09/19/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1577 E 17TH ST APT 2J
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City | BROOKLYN
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State | NY
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Zip | 11230-6747
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Country | US
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Telephone | 732-267-9014
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Fax |
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Provider Business Mailing Address
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Address Line | 1577 E 17TH ST APT 2J
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City | BROOKLYN
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State | NY
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Zip | 11230-6747
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Country | US
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Telephone | 732-267-9014
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROSE FINGERER
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Credential | OTR/L
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Telephone | 732-267-9014
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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 | 018974
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License Number State | NY
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