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General NPI Number Information
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NPI Number | 1659791242
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Entity Type | Organization
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Legal Business Name | TOTAL REHAB & HEALTH CENTER INC
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 06/17/2014
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Provider Practice Location Address
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Address Line | 16401 MAGNOLIA ST SUITE # 107
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City | WESTMINSTER
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State | CA
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Zip | 92683-7827
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Country | US
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Telephone | 714-596-4288
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Fax | 714-596-2388
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Provider Business Mailing Address
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Address Line | 16401 MAGNOLIA ST SUITE # 107
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City | WESTMINSTER
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State | CA
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Zip | 92683-7827
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Country | US
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Telephone | 714-596-4288
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Fax | 714-596-2388
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DIEUMY MICHELLE THAI
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Credential | MD
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Telephone | 714-596-4288
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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 | PT38963
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License Number State | CA
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