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General NPI Number Information
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NPI Number | 1912372392
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Entity Type | Organization
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Legal Business Name | UNIVERSAL REHABILITATION & FITNESS CENTER INC
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Dates
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Enumeration Date | 12/10/2015
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 41 TIGER LILY LN
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City | MORRISTOWN
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State | NJ
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Zip | 07960
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Country | US
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Telephone | 973-984-9066
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Fax |
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Provider Business Mailing Address
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Address Line | 15 MICROLAB RD STE 17
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City | LIVINGSTON
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State | NJ
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Zip | 07039-1699
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Country | US
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Telephone | 973-992-8181
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Fax |
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | MICHAEL SCUDILLO
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Credential |
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Telephone | 973-992-8181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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