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General NPI Number Information
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NPI Number | 1871542704
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Entity Type | Organization
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Legal Business Name | FRANKLIN MEDICAL REHAB INC
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 605 FRANKLIN AVE
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-1105
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Country | US
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Telephone | 516-775-4404
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Fax | 516-775-4928
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Provider Business Mailing Address
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Address Line | 605 FRANKLIN AVE
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-1105
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Country | US
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Telephone | 516-775-4404
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Fax | 516-775-4928
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. JACK J CAMARDA
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Credential | DC
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Telephone | 516-775-4404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 2950207R
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License Number State | NY
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