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General NPI Number Information
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NPI Number | 1508018839
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Entity Type | Organization
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Legal Business Name | ADVANTAGE REHABILITATION & WELLNESS CENTER II, LLC
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Dates
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Enumeration Date | 10/17/2008
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Last Update Date | 10/17/2008
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Provider Practice Location Address
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Address Line | 641 PENNSYLVANIA AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20003-4303
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Country | US
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Telephone | 202-293-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 1145 19TH ST NW SUITE 501
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City | WASHINGTON
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State | DC
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Zip | 20036-3701
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Country | US
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Telephone | 202-835-2225
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Fax | 202-835-2040
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Authorized Official
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Title or Position | OWNER
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Name | RASHIDA COHEN
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Credential | DC
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Telephone | 202-835-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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