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General NPI Number Information
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NPI Number | 1780990986
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Entity Type | Organization
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Legal Business Name | TOTAL REHAB INSTITUTE INC.
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 1030 S ARROYO PKWY SUITE #140
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City | PASADENA
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State | CA
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Zip | 91105-3214
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Country | US
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Telephone | 626-593-2283
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Fax |
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Provider Business Mailing Address
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Address Line | 50 N LA CIENEGA BLVD SUITE #201
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2227
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Country | US
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Telephone | 310-860-9646
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN WASSERMAN
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Credential |
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Telephone | 310-860-9646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT16294
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License Number State | CA
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