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General NPI Number Information
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NPI Number | 1710361936
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Entity Type | Organization
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Legal Business Name | DROZ REHAB LLC
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 11/29/2020
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Provider Practice Location Address
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Address Line | 3115 ATLANTIC AVE
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-2901
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Country | US
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Telephone | 215-804-4624
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Fax | 804-451-0535
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Provider Business Mailing Address
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Address Line | 3115 ATLANTIC AVE
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-2901
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Country | US
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Telephone | 215-804-4624
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Fax | 804-451-0535
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DIANA HERNANDEZ DROZDOWICZ
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Credential | MD
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Telephone | 215-840-4624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain 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 | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 0101256434
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License Number State | VA
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