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General NPI Number Information
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NPI Number | 1043229560
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Entity Type | Organization
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Legal Business Name | SOUTHWEST REGIONAL REHABILITATION CENTER
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 01/08/2013
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Provider Practice Location Address
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Address Line | 393 ROOSEVELT AVE E
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3333
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Country | US
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Telephone | 269-965-3206
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Fax | 269-441-4147
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Provider Business Mailing Address
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Address Line | 393 E ROOSEVELT AVE
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City | BATTLE CREEK
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State | MI
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Zip | 49017
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Country | US
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Telephone | 269-965-3206
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Fax | 269-441-4141
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | KEVIN ARNOLD
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Credential |
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Telephone | 269-965-3206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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