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General NPI Number Information
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NPI Number | 1063320232
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Entity Type | Organization
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Legal Business Name | PREMIER NEUROLOGICAL REHABILITATION, LLC
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 1110 MONTLIMAR DR STE 130
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City | MOBILE
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State | AL
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Zip | 36609-1721
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Country | US
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Telephone | 251-604-4759
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Fax |
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Provider Business Mailing Address
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Address Line | 3771 CONWAY DR S
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City | MOBILE
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State | AL
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Zip | 36608-1721
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Country | US
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Telephone | 251-604-4759
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEPHEN BENNETT COPE JR.
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Credential | OTR/L
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Telephone | 251-604-4759
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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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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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