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General NPI Number Information
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NPI Number | 1770352791
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Entity Type | Organization
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Legal Business Name | ABBY MEDICAL CENTER CARDIAC REHABILITATION LLC
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 02/04/2024
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Provider Practice Location Address
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Address Line | 1 CENTURIAN DR STE 303
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City | NEWARK
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State | DE
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Zip | 19713-2127
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Country | US
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Telephone | 302-229-9857
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CENTURIAN DR STE 303
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City | NEWARK
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State | DE
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Zip | 19713-2127
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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 | OWNER
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Name | MR. ANTONIO MANJERICO
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Credential |
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Telephone | 302-540-6051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2471C1106X
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Taxonomy Name | Cardiac-Interventional Technology Radiologic Technologist
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License Number |
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License Number State |
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