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General NPI Number Information
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NPI Number | 1689737710
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Entity Type | Organization
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Legal Business Name | ADVANCED REHAB SPECIALIST. LLC
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 240 MIDDLETOWN BLVD SUITE 201
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City | LANGHORNE
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State | PA
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Zip | 19047-1832
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Country | US
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Telephone | 267-980-4622
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Fax | 215-355-4315
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Provider Business Mailing Address
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Address Line | 240 MIDDLETOWN BLVD SUITE 201
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City | LANGHORNE
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State | PA
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Zip | 19047-1832
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Country | US
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Telephone | 267-980-4622
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Fax | 215-355-4315
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Authorized Official
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Title or Position | MD
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Name | XIA WANG
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Credential | MD
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Telephone | 267-980-4622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD418474
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License Number State | PA
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