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General NPI Number Information
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NPI Number | 1508589086
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Entity Type | Organization
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Legal Business Name | SUNBEAM CARE REHAB SERVICES LLC
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 9198 RED BRANCH RD STE H
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City | COLUMBIA
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State | MD
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Zip | 21045-2017
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Country | US
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Telephone | 240-421-9614
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Fax |
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Provider Business Mailing Address
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Address Line | 13073 OPEN HEARTH WAY
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City | GERMANTOWN
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State | MD
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Zip | 20874-2431
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Country | US
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Telephone | 240-421-9614
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Fax | 301-798-7071
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JOLLYBELL VELASCO
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Credential |
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Telephone | 301-605-5955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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