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General NPI Number Information
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NPI Number | 1538569934
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Entity Type | Organization
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Legal Business Name | G&A REHABILITATION INC.
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Dates
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Enumeration Date | 09/04/2014
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Last Update Date | 05/05/2015
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Provider Practice Location Address
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Address Line | 1041 CONCORD CIR
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City | MUNDELEIN
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State | IL
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Zip | 60060-2543
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Country | US
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Telephone | 224-425-1259
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Fax |
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Provider Business Mailing Address
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Address Line | 1041 CONCORD CIR
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City | MUNDELEIN
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State | IL
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Zip | 60060-2543
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Country | US
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Telephone | 224-425-1259
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. GERNANDO ENTENA CATAPAT
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Credential |
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Telephone | 224-425-1259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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Taxonomy #3
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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 | IL
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