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General NPI Number Information
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NPI Number | 1487046900
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Entity Type | Organization
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Legal Business Name | HALLMARK REHAB
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Dates
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Enumeration Date | 02/19/2015
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Last Update Date | 02/19/2015
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Provider Practice Location Address
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Address Line | 1803 TERMINO AVE #2402
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City | LONG BEACH
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State | CA
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Zip | 90815-2691
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Country | US
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Telephone | 973-738-2585
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Fax |
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Provider Business Mailing Address
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Address Line | 1803 TERMINO AVE #2402
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City | LONG BEACH
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State | CA
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Zip | 90815-2691
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Country | US
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Telephone | 973-738-2585
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Fax |
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Authorized Official
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Title or Position | OTR/L
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Name | MS. SHARLEEN ENGEL
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Credential |
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Telephone | 973-738-2585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 7757
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License Number State | CA
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