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General NPI Number Information
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NPI Number | 1003361643
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Entity Type | Organization
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Legal Business Name | ADVANCE REHABILITATION & CONSULTING LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 08/24/2016
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 224 SHORTER AVE NW
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City | ROME
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State | GA
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Zip | 30165-4288
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Country | US
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Telephone | 706-235-2727
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Fax | 706-235-2726
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Provider Business Mailing Address
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Address Line | PO BOX 949
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City | ROME
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State | GA
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Zip | 30162-0949
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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 | VP/AUTHORIZED OFFICIAL
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Name | RICHARD BINSTEIN
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Credential |
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Telephone | 713-297-7000
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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