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General NPI Number Information
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NPI Number | 1518019579
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Entity Type | Organization
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Legal Business Name | ROSLINDALE REHAB INC.
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/22/2018
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Provider Practice Location Address
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Address Line | 4157 WASHINGTON STREET
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City | ROSLINDALE
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State | MA
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Zip | 02131
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Country | US
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Telephone | 617-327-5600
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Fax | 617-327-5444
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Provider Business Mailing Address
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Address Line | 4157 WASHINGTON STREET
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City | ROSLINDALE
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State | MA
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Zip | 02131-1718
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Country | US
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Telephone | 617-327-5600
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Fax | 617-327-5444
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Authorized Official
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Title or Position | OWNER
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Name | INGA LIBERMAN
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Credential | PT
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Telephone | 617-327-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 11357
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License Number State | MA
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