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General NPI Number Information
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NPI Number | 1063574671
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Entity Type | Organization
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Legal Business Name | RURAL REHAB PROVIDERS, LLC
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 1026 W 2ND AVE
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City | CORSICANA
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State | TX
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Zip | 75110-3702
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Country | US
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Telephone | 903-874-7433
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Fax | 903-389-7631
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Provider Business Mailing Address
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Address Line | PO BOX 1241
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City | CORSICANA
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State | TX
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Zip | 75151-1241
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Country | US
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Telephone | 903-389-7433
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Fax | 903-389-7631
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Authorized Official
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Title or Position | OWNER
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Name | LISA LOTT
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Credential | MN, CNS, FNP
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Telephone | 903-388-4983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | TX
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