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General NPI Number Information
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NPI Number | 1801471628
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Entity Type | Organization
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Legal Business Name | NEW CENTURY REHABILITATION, LLC
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Dates
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Enumeration Date | 03/12/2021
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 3233 W CHARLESTON BLVD STE 207
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City | LAS VEGAS
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State | NV
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Zip | 89102-1924
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Country | US
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Telephone | 702-978-5220
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 BUTTERFIELD RD STE 1600
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1211
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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 | DIRECTOR OF CREDENTIALING
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Name | KATIE WATKINS
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Credential |
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Telephone | 630-296-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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