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General NPI Number Information
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NPI Number | 1679755227
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Entity Type | Organization
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Legal Business Name | NEW WELLNESS REHABILITATION, INC
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 12/05/2007
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Provider Practice Location Address
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Address Line | 9701 WILSHIRE BLVD SUITE 1000
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2020
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Country | US
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Telephone | 310-860-6110
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Fax | 310-861-1462
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Provider Business Mailing Address
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Address Line | 9701 WILSHIRE BLVD SUITE 1000
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2020
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Country | US
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Telephone | 310-860-6110
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Fax | 310-861-1462
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL M ASHNIN
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Credential | M.D.
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Telephone | 310-860-6110
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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 | PT19584
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A55508
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License Number State | CA
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