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General NPI Number Information
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NPI Number | 1043275936
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Entity Type | Organization
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Legal Business Name | SENIORHEALTH REHABILITATION HOSPITAL OF GREENVILLE, INC
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4215 JOE RAMSEY BLVD E
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City | GREENVILLE
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State | TX
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Zip | 75401-7852
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Country | US
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Telephone | 903-408-1781
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Fax | 903-408-1721
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Provider Business Mailing Address
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Address Line | 4215 JOE RAMSEY BLVD E
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City | GREENVILLE
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State | TX
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Zip | 75401-7852
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Country | US
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Telephone | 903-408-1781
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Fax | 903-408-1721
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. LORRAINE COOK
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Credential | R.N.
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Telephone | 903-408-1781
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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 | 008232
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License Number State | TX
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