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General NPI Number Information
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NPI Number | 1679811723
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Entity Type | Organization
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Legal Business Name | THE BACK REHAB INSTITUTE
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Dates
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Enumeration Date | 01/24/2013
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 1245 WHITEHORSE MERCERVILLE RD SUITE 424
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City | HAMILTON
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State | NJ
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Zip | 08619-3831
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Country | US
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Telephone | 609-581-2400
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Fax | 609-581-2500
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Provider Business Mailing Address
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Address Line | 1245 WHITEHORSE MERCERVILLE RD SUITE 424
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City | HAMILTON
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State | NJ
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Zip | 08619-3831
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Country | US
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Telephone | 609-581-2400
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Fax | 609-581-2500
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ROBERT A CARABELLI
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Credential | M.D.
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Telephone | 609-581-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 25MA0445190
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License Number State | NJ
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