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General NPI Number Information
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NPI Number | 1427485424
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Entity Type | Organization
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Legal Business Name | UNITED REHAB
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Dates
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Enumeration Date | 10/04/2013
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 872 WINYAH AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-1941
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Country | US
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Telephone | 347-351-7103
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Fax |
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Provider Business Mailing Address
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Address Line | 872 WINYAH AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-1941
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Country | US
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Telephone | 347-351-7103
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | JONATHAN DIGREGORIO
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Credential | M.P.T.
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Telephone | 347-351-7103
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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 | 46TR00330600
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License Number State | NJ
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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 | 40QA01232200
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License Number State | NJ
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