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General NPI Number Information
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NPI Number | 1962093732
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Entity Type | Organization
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Legal Business Name | CARE REHAB LLC
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 1450 PARKSIDE AVE STE 4
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City | EWING
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State | NJ
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Zip | 08638-2948
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Country | US
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Telephone | 609-955-2240
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Fax |
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Provider Business Mailing Address
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Address Line | 11 HAWTHORN DR
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City | PLAINSBORO
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State | NJ
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Zip | 08536-1932
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Country | US
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Telephone | 609-955-2240
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AVANTHI AVADHANAM
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Credential | PT
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Telephone | 609-955-2240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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