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General NPI Number Information
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NPI Number | 1053760942
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Entity Type | Organization
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Legal Business Name | COMPREHAB INC
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Dates
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Enumeration Date | 06/10/2016
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 18 NORTH GENERALS BLVD.
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City | LINCOLNTON
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State | NC
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Zip | 28092
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Country | US
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Telephone | 704-748-0616
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Fax |
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Provider Business Mailing Address
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Address Line | 2675 COURT DR
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City | GASTONIA
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State | NC
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Zip | 28054-1478
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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 | BILLING MANAGER
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Name | MRS. BEVERLY BRUNSON HORTON
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Credential | EDS, MHA
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Telephone | 980-745-0700
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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 | 7796
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License Number State | NC
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