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General NPI Number Information
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NPI Number | 1073778742
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Entity Type | Organization
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Legal Business Name | NORTH AUGUSTA REHAB HEALTH CENTER LLC
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 06/24/2009
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Provider Practice Location Address
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Address Line | 105 HUGH STREET SUITE B
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841
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Country | US
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Telephone | 803-426-2000
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Fax | 803-426-2041
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Provider Business Mailing Address
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Address Line | 105 HUGH STREET SUITE B
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841
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Country | US
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Telephone | 803-426-2000
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Fax | 803-426-2041
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Authorized Official
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Title or Position | MANAGED CARE ANALYST
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Name | LAVELLE R HARDIN
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Credential |
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Telephone | 615-344-8203
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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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