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General NPI Number Information
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NPI Number | 1669963039
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Entity Type | Organization
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Legal Business Name | CIP REHABILITATION INC
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 06/28/2018
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Provider Practice Location Address
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Address Line | 5 JACQUELYN LN
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City | DALLAS
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State | PA
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Zip | 18612
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Country | US
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Telephone | 631-223-6713
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Fax |
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Provider Business Mailing Address
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Address Line | 5 JACQUELYN LN
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City | DALLAS
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State | PA
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Zip | 18612-9107
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTHONY CIPOLETTI
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Credential | OTR/L
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Telephone | 631-223-6713
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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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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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