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General NPI Number Information
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NPI Number | 1649340704
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Entity Type | Organization
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Legal Business Name | COMMUNITY REHAB CARE, INC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 51 WATER STREET SUITE 205
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City | WATERTOWN
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State | MA
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Zip | 02472
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Country | US
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Telephone | 617-744-8300
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Fax | 617-744-6218
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Provider Business Mailing Address
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Address Line | 51 WATER STREET SUITE 205
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City | WATERTOWN
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State | MA
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Zip | 02472
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Country | US
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Telephone | 617-744-8300
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Fax | 617-744-6218
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | EILEEN C CHERNOFF
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Credential |
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Telephone | 617-744-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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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 |
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