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General NPI Number Information
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NPI Number | 1790931749
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Entity Type | Organization
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Legal Business Name | ROYAL REHAB CENTER, INC
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Dates
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Enumeration Date | 08/11/2008
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 20 LINDEN ST FIRST FLOOR
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City | ALLSTON
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State | MA
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Zip | 02134-1711
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Country | US
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Telephone | 617-787-0030
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Fax |
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Provider Business Mailing Address
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Address Line | 20 LINDEN ST FIRST FLOOR
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City | ALLSTON
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State | MA
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Zip | 02134-1711
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Country | US
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Telephone | 617-787-0030
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | VIKTORIYA VILKOMIR
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Credential |
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Telephone | 617-953-4761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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