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General NPI Number Information
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NPI Number | 1497349476
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Entity Type | Organization
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Legal Business Name | ROSAL REHAB SERVICES - A PHYSICAL THERAPY CORPORATION
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Dates
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Enumeration Date | 02/22/2021
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 627 GARIS AVE
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City | RIDGECREST
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State | CA
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Zip | 93555-3103
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Country | US
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Telephone | 818-451-6884
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Fax |
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Provider Business Mailing Address
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Address Line | 627 GARIS AVE
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City | RIDGECREST
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State | CA
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Zip | 93555-3103
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Country | US
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Telephone | 760-977-1554
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JONART ROSAL
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Credential | PT, DPT
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Telephone | 818-451-6884
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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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