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General NPI Number Information
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NPI Number | 1700016433
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Entity Type | Organization
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Legal Business Name | REHABCARE
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Dates
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Enumeration Date | 07/15/2009
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Last Update Date | 07/15/2009
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Provider Practice Location Address
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Address Line | 35 SHEILA CT
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City | NOVATO
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State | CA
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Zip | 94947-2066
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Country | US
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Telephone | 414-897-8416
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Fax |
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Provider Business Mailing Address
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Address Line | 35 SHEILA CT
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City | NOVATO
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State | CA
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Zip | 94947-2066
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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 | PTA
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Name | MRS. WENDY ANNE NEWGREN
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Credential |
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Telephone | 415-492-2419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | AT 149
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License Number State | CA
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