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General NPI Number Information
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NPI Number | 1457142838
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Entity Type | Organization
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Legal Business Name | NEUROLOGIC REHABILITATION AND WELLNESS
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 1422 CHESTNUT AVE
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1809
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Country | US
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Telephone | 609-471-9971
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Fax |
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Provider Business Mailing Address
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Address Line | 1422 CHESTNUT AVE
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1809
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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 | OWNER/OT
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Name | RACHEL DAVY
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Credential |
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Telephone | 609-471-9971
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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 |
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License Number State |
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