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General NPI Number Information
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NPI Number | 1619500576
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Entity Type | Organization
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Legal Business Name | COGNET REHAB SOLUTIONS INC
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 02/19/2020
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Provider Practice Location Address
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Address Line | 417 W ALLEN AVE STE 107
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City | SAN DIMAS
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State | CA
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Zip | 91773-4707
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Country | US
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Telephone | 213-459-0869
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Fax |
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Provider Business Mailing Address
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Address Line | 417 W ALLEN AVE STE 107
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City | SAN DIMAS
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State | CA
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Zip | 91773-4707
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Country | US
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Telephone | 213-459-0869
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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. PAUL C SOUTH
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Credential | LVN
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Telephone | 213-459-0869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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