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General NPI Number Information
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NPI Number | 1457605032
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Entity Type | Organization
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Legal Business Name | ONCOLOGY REHAB AND WELLNESS RESOURCES, LLC
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Dates
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Enumeration Date | 11/02/2012
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Last Update Date | 11/02/2012
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Provider Practice Location Address
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Address Line | 42742 KEILLER TER
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City | ASHBURN
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State | VA
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Zip | 20147-3524
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Country | US
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Telephone | 571-271-5396
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Fax |
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Provider Business Mailing Address
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Address Line | 42742 KEILLER TER
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City | ASHBURN
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State | VA
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Zip | 20147-3524
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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 | MEMBER
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Name | JOISE SALGADO
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Credential | OTR/L
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Telephone | 571-271-5396
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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 |
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License Number State |
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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 |
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License Number State |
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