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General NPI Number Information
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NPI Number | 1831382852
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Entity Type | Organization
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Legal Business Name | REHABCARE
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 08/22/2007
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Provider Practice Location Address
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Address Line | 37230 HIGH VISTA DR
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City | MURRIETA
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State | CA
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Zip | 92563-3268
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Country | US
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Telephone | 952-696-2720
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Fax |
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Provider Business Mailing Address
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Address Line | 37230 HIGH VISTA DR
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City | MURRIETA
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State | CA
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Zip | 92563-3268
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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 | RN
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Name | ELYMAR FONTENOT
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Credential |
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Telephone | 626-347-0052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 522211
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License Number State | CA
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