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General NPI Number Information
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NPI Number | 1427603828
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Entity Type | Individual
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Provider Name | REMAN ADEL RAJAB
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Gender | Female
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Dates
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Enumeration Date | 08/03/2019
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 1605 HOPE ST STE 100
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-2647
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Country | US
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Telephone | 626-737-6735
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Fax |
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Provider Business Mailing Address
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Address Line | 275 S ARROYO PKWY UNIT 411
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City | PASADENA
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State | CA
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Zip | 91105-5213
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 296944
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License Number State | CA
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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 | 2305215426
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License Number State | VA
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