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General NPI Number Information
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NPI Number | 1770515165
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Entity Type | Organization
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Legal Business Name | BACHARACH INSTITUTE FOR REHABILITATION INC
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 61 WEST JIMMIE LEEDS ROAD
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City | POMONA
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State | NJ
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Zip | 08240-0723
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Country | US
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Telephone | 609-748-5454
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Fax | 609-748-7755
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Provider Business Mailing Address
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Address Line | 61 W JIMMIE LEEDS ROAD PO BOX 723
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City | POMONA
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State | NJ
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Zip | 08240-0723
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Country | US
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Telephone | 609-748-5454
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Fax | 609-748-7755
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Authorized Official
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Title or Position | DIRECTOR PATIENT FINANCIAL SERVICES
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Name | MS. NANCY F PRICE
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Credential |
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Telephone | 609-748-5454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 20125
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License Number State | NJ
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