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General NPI Number Information
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NPI Number | 1477997351
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Entity Type | Organization
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Legal Business Name | EXCLUSIVE REHABILITATION SERVICES LLC
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Dates
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Enumeration Date | 04/23/2013
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Last Update Date | 04/23/2013
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Provider Practice Location Address
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Address Line | 120 N ROSEWOOD CT
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City | WERNERSVILLE
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State | PA
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Zip | 19565-1532
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Country | US
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Telephone | 610-390-3211
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 247
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City | WERNERSVILLE
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State | PA
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Zip | 19565-0247
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Country | US
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Telephone | 610-390-3211
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MIGUEL SANTOS
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Credential |
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Telephone | 610-390-3211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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