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General NPI Number Information
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NPI Number | 1568016640
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Entity Type | Organization
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Legal Business Name | IDEAL REHAB CARE INC
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Dates
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Enumeration Date | 07/28/2019
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Last Update Date | 07/28/2019
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Provider Practice Location Address
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Address Line | 2062 MILLBURN AVE
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-3713
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Country | US
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Telephone | 732-319-7765
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Fax | 732-603-1267
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Provider Business Mailing Address
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Address Line | 44 STATE ROUTE 27 STE 200D
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City | EDISON
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State | NJ
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Zip | 08820-3978
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Country | US
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Telephone | 732-319-7765
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Fax | 732-603-1267
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Authorized Official
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Title or Position | OWNER
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Name | RAKESH JAIN
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Credential |
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Telephone | 732-319-7765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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