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General NPI Number Information
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NPI Number | 1053703843
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Entity Type | Organization
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Legal Business Name | ENCORE REHABILITATION, INC.
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Dates
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Enumeration Date | 03/03/2015
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Last Update Date | 03/16/2015
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Provider Practice Location Address
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Address Line | 600 WHITESPORT DR SW STE C
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City | HUNTSVILLE
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State | AL
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Zip | 35801-6494
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Country | US
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Telephone | 256-203-3100
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Fax | 256-230-3110
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Provider Business Mailing Address
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Address Line | 251 JOHNSTON ST SE STE 300
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City | DECATUR
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State | AL
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Zip | 35601-2515
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Country | US
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Telephone | 256-340-9708
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Fax | 256-340-9624
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Authorized Official
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Title or Position | PRESIDENET
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Name | PAUL HENDERSON
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Credential |
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Telephone | 256-350-1764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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