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General NPI Number Information
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NPI Number | 1548776172
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Entity Type | Organization
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Legal Business Name | BELLAIRE HEALTH & REHABILITATION
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Dates
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Enumeration Date | 12/19/2017
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Last Update Date | 05/02/2018
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Provider Practice Location Address
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Address Line | 1901 AVENUE OF THE STARS STE 200
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City | CENTURY CITY
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State | CA
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Zip | 90067-6015
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Country | US
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Telephone | 310-395-4730
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Fax | 909-306-7185
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Provider Business Mailing Address
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Address Line | 1901 AVENUE OF THE STARS STE 200
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City | CENTURY CITY
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State | CA
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Zip | 90067-6015
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Country | US
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Telephone | 310-395-4730
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Fax | 909-306-7185
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Authorized Official
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Title or Position | CEO
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Name | KENYATTA HARRIS
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Credential |
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Telephone | 818-223-7520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | CA
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Taxonomy #3
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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 | CA
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