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General NPI Number Information
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NPI Number | 1730566449
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Entity Type | Organization
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Legal Business Name | SUBURBAN/NRH MEDICAL REHABILITATION, INC.
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Dates
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Enumeration Date | 05/01/2015
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 14955 SHADY GROVE RD STE 230
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City | ROCKVILLE
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State | MD
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Zip | 20850-8701
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Country | US
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Telephone | 301-984-6594
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Fax | 301-984-7271
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Provider Business Mailing Address
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Address Line | 102 IRVING ST NW ATTN MHPT PAYOR ENROLLMENT
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City | WASHINGTON
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State | DC
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Zip | 20010-2921
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Country | US
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Telephone | 301-540-6140
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Fax | 301-540-5190
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN ROCKWOOD
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Credential |
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Telephone | 301-540-6140
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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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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