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General NPI Number Information
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NPI Number | 1629094420
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Entity Type | Organization
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Legal Business Name | EINHORN MANDAS & BRADLEY REHAB INC
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 5152 KATELLA AVE STE 106
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-2843
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Country | US
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Telephone | 562-431-6004
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Fax | 562-431-9854
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Provider Business Mailing Address
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Address Line | 5152 KATELLA AVE STE 106
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-2843
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Country | US
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Telephone | 562-431-6004
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Fax | 562-431-9854
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANDREW RICHARD EINHORN
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Credential | PT
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Telephone | 562-431-6004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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