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General NPI Number Information
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NPI Number | 1043583685
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Entity Type | Organization
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Legal Business Name | S&S DIET REHAB CENTER LLC
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 316 W BELT LINE RD SUITE 204
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City | CEDAR HILL
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State | TX
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Zip | 75104-2049
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Country | US
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Telephone | 972-291-1609
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Fax | 972-291-1610
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Provider Business Mailing Address
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Address Line | 316 W BELT LINE RD SUITE 204
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City | CEDAR HILL
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State | TX
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Zip | 75104-2049
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Country | US
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Telephone | 972-291-1609
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Fax | 972-291-1610
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Authorized Official
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Title or Position | TREASURY
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Name | CHRISTINE S TURNER
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Credential |
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Telephone | 817-908-5028
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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 | 671880000
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License Number State | TX
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