Basic Information
Provider Information
NPI: 1548858525
EntityType: 2
ReplacementNPI:  
OrganizationName: NATIONAL REHABILITATION HOSPITAL, INC.
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Mailing Information
Address1: 2000 15TH ST N STE 600
Address2:  
City: ARLINGTON
State: VA
PostalCode: 222012900
CountryCode: US
TelephoneNumber: 7035581400
FaxNumber: 7035581445
Practice Location
Address1: 3333 N CALVERT ST
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212182867
CountryCode: US
TelephoneNumber: 2028771120
FaxNumber: 8446065117
Other Information
ProviderEnumerationDate: 01/06/2021
LastUpdateDate: 01/06/2021
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AuthorizedOfficialLastName: SCHNEIDER
AuthorizedOfficialFirstName: STEPHANIE
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AuthorizedOfficialTitleorPosition: DIRECTOR
AuthorizedOfficialTelephone: 7025581403
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 01/06/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103T00000X  Y193200000X MULTI-SPECIALTY GROUPBehavioral Health & Social Service ProvidersPsychologist 

No ID Information.


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